NPI 1346096195

Alexander K Boehme, LCPO

Practitioner Prosthetist Fort Worth, TX

Practice location

Address: 1101 W Vickery Blvd, Fort Worth, TX 76104-1025
Phone: (168) 230-3763
Mailing address: PO Box 99283, Fort Worth, TX 76199-1383

Registered specialties (2)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence 1974 (TX)

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Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence 1974 (TX)

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Registry record

NPI: 1346096195
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Apr 2024
Record last updated: 15 May 2024

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.