Boake, Corwin
Boake, Corwin is an individual health care provider with primary practice located at 1333 Moursund St , Houston TX 77030-3405. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Prescribing (Medical). Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Boake, Corwin can be contacted via phone (713) 799-6990.Contact Information
Primary practice address
1333 Moursund St
Houston TX 77030-3405
Phone: (713) 799-6990
Fax: (713) 799-7049
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 23147 | Texas |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 23147 | Texas |
Behavioral Health & Social Service Providers / Prescribing (Medical) | 103TP0016X | MP.0661 | Louisiana |
Profile Details
NPI number | 1942349451 |
---|---|
LBN Legal business name | Boake, Corwin |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 5th, 2007 |
Last updated | Mar 30th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1942349451 | NPPES |
Texas | MEDICAID | 1625642 |
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