Individual provider · Type 1 NPI

Bryant Carroll Boren Iii, MD

Diagnostic Radiology Physician · Dallas, TX

NPI number 1649595091 Active

Practice location

5323 Harry Hines Blvd
Dallas, TX 75390-7201

Mailing address

815 Pennsylvania Ave
Fort Worth, TX 76104-2224

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Diagnostic Radiology Physician Primary 2085R0202XP4024 (TX)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1649595091

Bryant Carroll Boren Iii, MD's National Provider Identifier is 1649595091, issued on Mar 29, 2010. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Dallas, TX. The record was last updated on Jun 15, 2016.