Individual provider · Type 1 NPI

Colette Poole-Boykin, MD

Student in an Organized Health Care Education/Training Program · Lackland Afb, TX

NPI number 1376938399 Active

Practice location

2200 Bergquist Dr Ste 1, Ste 1
Lackland Afb, TX 78236-9908

Call (210) 916-8687 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1376938399

Colette Poole-Boykin, MD's National Provider Identifier is 1376938399, issued on Apr 6, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lackland Afb, TX. The record was last updated on Apr 8, 2015.