Provider Information for 1649958406
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Mr. GEORGE WILLIAM BOYD IV LCSW
Sex: Male
NPI: 1649958406
Last Updated: 2023-08-08
Certification Date: 2023-08-08
Certification Date: 2023-08-08
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1649958406 | ||||||||
| Enumeration Date | 2023-07-10 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 48741 WATAUGA, TX 76148-0741 United States Phone: 817-936-3922 | Fax: | ||||||||
| Primary Practice Address | 320 W BEDFORD EULESS RD HURST, TX 76053-4011 United States Phone: 817-382-2596 | Fax: | ||||||||
| Secondary Practice Address(es) | 1336 CAVENDER DR | ||||||||
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