| Boa Psychiatry Pllc | |
|
4818 County Road 219 Unit 801 Tyler TX 75707-4404 | |
| (862) 250-1352 | |
| (608) 305-8949 |
| Full Name | Boa Psychiatry Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 4818 County Road 219 Unit 801, Tyler, Texas |
| Authorized Official Name and Position | Adanze Ngozi Aguwa (CEO/MD) |
| Authorized Official Contact | 8622501352 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boa Psychiatry Pllc 4818 County Road 219 Unit 801 Tyler TX 75707-4404 Ph: (862) 250-1352 | Boa Psychiatry Pllc 4818 County Road 219 Unit 801 Tyler TX 75707-4404 Ph: (862) 250-1352 |
| NPI Number | 1366369621 |
|---|---|
| Provider Enumeration Date | 06/29/2026 |
| Last Update Date | 06/29/2026 |
| Certification Date | 06/30/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366369621 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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