person
Carly Jay Boone, PA-C
Medical Physician Assistant in Waxahachie, Texas
NPI 1801052030

Carly Jay Boone is a Medical Physician Assistant based in Waxahachie, TX and is specialized in Medical. Carly Jay Boone practices in Waxahachie, TX and has the professional credentials of PA-C. The NPI Number for Carly Jay Boone is 1801052030 and holds a License No. PA05842 (Texas).

The current practice location address for Carly Jay Boone is 2460 N Ih 35 E Ste 100, Waxahachie, TX and can be reached out via phone at 469-800-9500 and via fax at 469-800-9540.

Location: 2460 N Ih 35 E Ste 100, Waxahachie, TX, 75165-5267
person
Provider Profile Details
NPI Number
1801052030
Provider Name
Carly Jay Boone
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
2460 N Ih 35 E Ste 100, Waxahachie, TX, 75165-5267
Phone Number
469-800-9500
Fax Number
469-800-9540
Provider Enumeration Date
08/07/2008
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA05842 01 TX PHYSCICIAN ASSISTANT LICENSE
1082631 01 TX CERTIFIED PAC
institution
Provider Business Practice Location Address Details
Address
2460 N Ih 35 E Ste 100
City
State
Zip
75165-5267
Phone Number
469-800-9500
Fax Number
469-800-9540
person
Provider Business Mailing Address Details
Address
2460 N Ih 35 E Ste 100
City
State
Zip
75165-5267
Phone Number
469-800-9500
Fax Number
469-800-9540
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA05842 (Texas)
Definition
Definition to come...
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