Provider Demographics
NPI:1154494425
Name:BOYD, GEORGE BORLAND III (DO)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:BORLAND
Last Name:BOYD
Suffix:III
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:7838 BARLITE BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78224-1364
Mailing Address - Country:US
Mailing Address - Phone:210-932-9729
Mailing Address - Fax:210-855-0522
Practice Address - Street 1:7838 BARLITE BLVD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78224-1364
Practice Address - Country:US
Practice Address - Phone:210-932-9729
Practice Address - Fax:210-855-0522
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2012-04-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM9876207RI0011X, 207RC0000X, 207UN0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology