Dr. Russell Boatwright, MD
Obstetrics & Gynecology, Gynecology in Denton, TX. Individual provider (NPI-1).
NPI number1649572629
StatusActive
Last updated in NPPESNov 24, 2010
Details
- NPI
- 1649572629
- Entity type
- Individual (NPI-1)
- Name
- Dr. Russell Boatwright
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 24, 2010
- Last updated
- Nov 24, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207VG0400X | Obstetrics & Gynecology, Gynecology | D0804 | TX | Yes |
Other names
- Russell Bryan Boatwright (Other Name)
Practice location
2704 Hartlee CtDenton, TX 76208-3544
Phone 940-387-4847
Mailing address
2704 Hartlee CtDenton, TX 76208-3544
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