Ira Kaeo Boswell
IRA BOSWELL DO PLLC


Address: 8600 Skyline Dr, Dallas, TX 75243-4198
Phone: 2143559001

Ira Kaeo Boswell (NPI# 1346534757, PAC ID# 0749594992) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.

Physician Overview

Nation Provider ID (NPI) 1346534757
PAC ID by PECOS 0749594992
Professional Enrollment ID I20150731015227
Full Name Ira Kaeo Boswell
Organization Legal Name IRA BOSWELL DO PLLC
Address 8600 Skyline Dr
Dallas
TX 75243-4198
Phone Number 2143559001
Gender M
Medical School UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduation Year 2015
Primary Specialty PHYSICAL MEDICINE AND REHABILITATION
Group Practice PAC ID 9830403088
Number of Group Practice Members 3
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
8600 Skyline Dr, Dallas, TX 75243-4198 2143559001 IRA BOSWELL DO PLLC

Organization Information

Organization Legal Name IRA BOSWELL DO PLLC
Physicians 1

Office Location

Street Address 8600 SKYLINE DR
City DALLAS
State TX
Zip 75243-4198

Physicians in the same location

Name Specialty Organization Address
Rhea J Cook Nurse Practitioner 8600 Skyline Dr, Dallas, TX 75243-4198
Julie A Lyons Nurse Practitioner 8600 Skyline Dr, Dallas, TX 75243-4198

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Competitor

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City DALLAS
Zip Code 75243
Specialty PHYSICAL MEDICINE AND REHABILITATION
City + Specialty DALLAS + PHYSICAL MEDICINE AND REHABILITATION

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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