William C. Boostrom, PA-C Valid NPI

Individual provider · Physician Assistant · Corpus Christi, TX

NPI

1760475933

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

PA00623 (TX)

Sex

Male

Sole proprietor

No

Enumerated

2005-08-23

Last updated

2021-04-14