Boggs, Linda C

Boggs, Linda C is an individual health care provider with primary practice located at 1221 Judson Rd Ste 900 , Longview TX 75601-3922. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Boggs, Linda C can be contacted via phone (903) 212-8990.

Contact Information

Primary practice address
1221 Judson Rd Ste 900 Longview TX 75601-3922
Phone: (903) 212-8990
Fax: (903) 212-8973
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 239464 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP107327 Texas

Profile Details

NPI number 1164499661
LBN Legal business name Boggs, Linda C
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Jan 25th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164499661 NPPES
Texas MEDICAID 102263403

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