Provider Demographics
NPI:1285200097
Name:BOYERS, CAMERON (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:CAMERON
Middle Name:
Last Name:BOYERS
Suffix:
Gender:M
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1327 SUNFLOWER
Mailing Address - Street 2:
Mailing Address - City:PARADISE
Mailing Address - State:TX
Mailing Address - Zip Code:76073-3237
Mailing Address - Country:US
Mailing Address - Phone:940-389-8135
Mailing Address - Fax:
Practice Address - Street 1:1821 S FM 51
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:TX
Practice Address - Zip Code:76234-3715
Practice Address - Country:US
Practice Address - Phone:940-233-6929
Practice Address - Fax:877-892-4569
Is Sole Proprietor?:No
Enumeration Date:2021-06-02
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX320322183700000X
TX1178692363LF0000X
TX881431163WH1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No183700000XPharmacy Service ProvidersPharmacy Technician
No163WH1000XNursing Service ProvidersRegistered NurseHospice