Boswell, Bruce

Boswell, Bruce is an sole proprietor health care provider with primary practice located at 4925 Everhart Rd Ste 103 , Corpus Christi TX 78411. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Boswell, Bruce can be contacted via phone (361) 806-2600.

Contact Information

Primary practice address
4925 Everhart Rd Ste 103 Corpus Christi TX 78411
Phone: (361) 806-2600
Fax: (361) 806-2624
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 17545 Texas
Behavioral Health & Social Service Providers / Counselor 101Y00000X 17545 Texas

Profile Details

NPI number 1255416574
LBN Legal business name Boswell, Bruce
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2006
Last updated Nov 14th, 2023 - about last year

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 1255416574 NPPES
Texas MEDICAID 1509028-02
Texas MEDICAID 150902801

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