William C. Boostrom, PA-C
Physician Assistant in Corpus Christi, TX. Individual provider (NPI-1).
NPI number1760475933
StatusActive
Last updated in NPPESAug 25, 2026
Details
- NPI
- 1760475933
- Entity type
- Individual (NPI-1)
- Name
- Mr. William C. Boostrom
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 23, 2005
- Certification date
- Aug 25, 2026
- Last updated
- Aug 25, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA00623 | TX | Yes |
| 363AM0700X | Physician Assistant, Medical | PA00623 | TX |
Practice location
2606 Hospital Blvd4 West
Corpus Christi, TX 78405-1833
Phone 361-902-6100 · Fax 361-902-6935
Mailing address
919 Hidden Rdg Fl 6Irving, TX 75038-3813
Phone 469-282-2713 · Fax 469-282-2609
Other practice locations
4617 Greenwood Dr
Corpus Christi, TX 78416-1742
Corpus Christi, TX 78416-1742
Phone 361-857-2872 · Fax 361-857-2946
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