Ray Bockover, ATP, CRTS
Technician, Other in Tyler, TX. Individual provider (NPI-1).
NPI number1871889048
StatusActive
Last updated in NPPESJun 25, 2011
Details
- NPI
- 1871889048
- Entity type
- Individual (NPI-1)
- Name
- Ray Bockover
- Credential
- ATP, CRTS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 25, 2011
- Last updated
- Jun 25, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
Practice location
13213 Hwy 155 SSuite B
Tyler, TX 75703-6561
Phone 903-509-4446
Mailing address
12012 County Road 283 EWhitehouse, TX 75791-6010
Phone 903-509-4446
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