Provider Demographics
NPI:1588908727
Name:OBOYLE, EDWARD PATRICK (RDMS,RVT)
Entity type:Individual
Prefix:MR
First Name:EDWARD
Middle Name:PATRICK
Last Name:OBOYLE
Suffix:
Gender:M
Credentials:RDMS,RVT
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Mailing Address - Street 1:2940 CASTELLAN LN
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78665-5689
Mailing Address - Country:US
Mailing Address - Phone:512-350-6463
Mailing Address - Fax:
Practice Address - Street 1:2940 CASTELLAN LN
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78665-5689
Practice Address - Country:US
Practice Address - Phone:512-350-6463
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-10
Last Update Date:2012-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX478412471S1302X, 2471V0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography
No2471V0105XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistVascular Sonography