Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. WILLIE EDWARD BOYD
Deactivated Sole ProprietorMR. WILLIE EDWARD BOYD is a Assisted Living Facility healthcare provider located in LONGVIEW, Texas. NPI 1912109067 is deactivated in the NPPES registry. Verify at CMS.
Assisted Living Facility · LONGVIEW, TX
This NPI has been deactivated.
The record was deactivated on January 22, 2008.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1912109067
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 1, 2007 (0.64207650273224 yrs)
- Last Updated
- Dec 29, 2014
- Deactivated
- Jan 22, 2008
- Sole Proprietor
- Yes
Practice Information
- Address
-
315 EAST CLIFFWOODLONGVIEW, TX, 75603Browse TX providers · Browse ZIP 75603
- Phone
- 9036432129
- Fax
- 9036430307
- Primary Specialty
-
Assisted Living Facility
310400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.