Provider Demographics
NPI:1124316989
Name:BOSS, STUART ERICH (MD)
Entity type:Individual
Prefix:DR
First Name:STUART
Middle Name:ERICH
Last Name:BOSS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4801 BISSONNET ST
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-4028
Mailing Address - Country:US
Mailing Address - Phone:713-275-1111
Mailing Address - Fax:713-275-6092
Practice Address - Street 1:4801 BISSONNET ST
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-4028
Practice Address - Country:US
Practice Address - Phone:713-275-1111
Practice Address - Fax:713-275-6092
Is Sole Proprietor?:No
Enumeration Date:2011-07-14
Last Update Date:2012-03-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXN8767207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine