Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | Q2516 | TX |
N | 207RA0201X | Internist - Allergy & Immunology | MD2006-0011 | NM |
Y | 207RA0201X | Internist - Allergy & Immunology | Q2516 | TX |
NPI | 1295728038 |
---|---|
Provider Name | Dr. Alan Howard Boyar |
First Address | San Antonio, TX 78216-7915 |
Second Address | Jbsa - Randolph, TX 78150 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/08/2005 |
Last Update Date | 06/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
348416401 | (05) | TX |
93320027 | (05) | NM |
F11230 | (02) |