Robert L. Boyne, M.D., P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

L4260 Issued in TX

Legal business name

ROBERT L. BOYNE, M.D., P.A.

Practice address

700 Olympic Plaza Cir Ste 912
Tyler, TX 75701-1955

Phone

(903) 596-3808

Fax

(903) 596-3814

NPI assigned

Oct 11, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Robert Leon Boyne, M.D.

Title

Owner

Phone

(903) 596-3808

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416441600000",
    "number": "1093803116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 OLYMPIC PLAZA CIR STE 912",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011955",
            "telephone_number": "903-596-3808",
            "fax_number": "903-596-3815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 OLYMPIC PLAZA CIR STE 912",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011955",
            "telephone_number": "903-596-3808",
            "fax_number": "903-596-3814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT L. BOYNE, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2014-11-20",
        "status": "A",
        "authorized_official_last_name": "BOYNE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LEON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-596-3808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "L4260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154300101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Tyler, TX
• Providers in Tyler, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.