Boren, Ronald P

Boren, Ronald P is an individual health care provider with primary practice located at 1900 W Wall St Suite A, Midland TX 79701-6527. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Boren, Ronald P can be contacted via phone (432) 498-2900.

Contact Information

Primary practice address
1900 W Wall St Suite A Midland TX 79701-6527
Fax: (432) 498-2990
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D5685 Texas

Profile Details

NPI number 1902895469
LBN Legal business name Boren, Ronald P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2005
Last updated Feb 27th, 2012 - about 13 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 1902895469 NPPES
Texas MEDICAID 123486603
Texas Other 89161F

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