Provider Demographics
NPI:1164860425
Name:BOYLE, JONATHAN D (MD)
Entity type:Individual
Prefix:
First Name:JONATHAN
Middle Name:D
Last Name:BOYLE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5000 LONG PRAIRIE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-2797
Mailing Address - Country:US
Mailing Address - Phone:972-420-1776
Mailing Address - Fax:214-222-6660
Practice Address - Street 1:5000 LONG PRAIRIE RD STE 100
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-2797
Practice Address - Country:US
Practice Address - Phone:972-420-1776
Practice Address - Fax:214-222-6660
Is Sole Proprietor?:No
Enumeration Date:2013-06-10
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXR7674207X00000X, 207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery