IndividualActive
Mark Boston, M.D.
NPI 1023000601 · Pediatric Otolaryngology Physician · San Antonio, TX
Provider details
- NPI number
- 1023000601
- Entity type
- Individual
- Primary specialty
- Pediatric Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 23534 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
333 N Santa Rosa St
San Antonio, TX 78207-3108
Phone: (210) 704-4039
Approximate (ZIP-level) locationGet directions
Mailing address
2200 Bergquist Dr
Lackland Afb, TX 78236-9907
Registry dates
- Enumerated
- 2005-08-18
- Last updated
- 2011-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.