NPI 1023000601

Mark Boston, MD

Practitioner Pediatric Otolaryngology Physician San Antonio, TX

Practice location

Address: 333 N Santa Rosa St, San Antonio, TX 78207-3108
Phone: (210) 704-4039
Mailing address: 2200 Bergquist Dr 59th Sss/Sgoso, STE 100, Lackland Afb, TX 78236-9907

Registered specialties (2)

Pediatric Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207YP0228X Licence M6056 (TX)

Other Otolaryngology providers in Texas →

Pediatric Otolaryngology Physician

Allopathic & Osteopathic Physicians Taxonomy 207YP0228X Licence 23534 (AZ)

Registry record

NPI: 1023000601
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Aug 2005
Record last updated: 17 Mar 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.