Basic Information
| Provider Information | |||||||||
| NPI: | 1336382597 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BOSWELL | ||||||||
| FirstName: | MARGARET | ||||||||
| MiddleName: | MCQUISTON | ||||||||
| NamePrefix: | |||||||||
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| Credential: | |||||||||
| OtherOrganizationName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 4520 HIGHWAY 281 S | ||||||||
| Address2: | |||||||||
| City: | BLANCO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 786065205 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8308330510 | ||||||||
| FaxNumber: | 8308334307 | ||||||||
| Practice Location | |||||||||
| Address1: | 4520 HIGHWAY 281 S | ||||||||
| Address2: | |||||||||
| City: | BLANCO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 786065205 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8308330510 | ||||||||
| FaxNumber: | 8308334307 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/16/2009 | ||||||||
| LastUpdateDate: | 04/16/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 171100000X | AC00679 | TX | Y | Other Service Providers | Acupuncturist |
No ID Information.