| Mr Terry Dean Boatman, CRNA | |
|
1007 S William St, Atlanta, TX 75551-3245 | |
| (903) 799-3000 | |
| Not Available |
| Full Name | Mr Terry Dean Boatman |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1007 S William St, Atlanta, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003952185 | NPI | - | NPPES |
| 81648U | Other | TX | BLUE CROSS BLUE SHEILD |
| 143828501 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 657228 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Terry Dean Boatman, CRNA Po Box 1049, Atlanta, TX 75551-1049 Ph: (903) 799-3000 | Mr Terry Dean Boatman, CRNA 1007 S William St, Atlanta, TX 75551-3245 Ph: (903) 799-3000 |
Mr. Jimmy Glenn Stillwell, CRNA CERTIFIED REGIS Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1007 S Williams, Atlanta Memorial Hospital, Atlanta, TX 75551 Phone: 903-799-3000 |