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Deactivated NPI 1548308950 Deactivated / Inactive NPI Male Practitioner

Wayne Francis Boula , RT

Radiologic Technologist - Radiation Therapy • Tyler, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Wayne Boula has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 01, 2007
NPI Deactivation Date December 19, 2017
Total Practice Duration ~10 Years of Practice (2007 – 2017)

Professional Overview & Biography Verified Profile Summary

Wayne Boula, RT was a registered Radiologic Technologist - Radiation Therapy practicing in Tyler, TX. Throughout an active medical career spanning 10 years, Wayne Boula provided care at the practice location at 12411 OAK SPRING RD until profile deactivation on 2017-12-19.

Practice Location & Contact Primary Location

Practice Address

12411 Oak Spring Rd

Tyler, TX 757096343

Telephone 9035610303

Specialty Benchmarks & Practice Insights

Comparative analytics for Radiologic Technologist - Radiation Therapy in Tyler, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Tyler, TX (18 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Radiologic Technologist - Radiation Therapy Primary Specialty

NUCC Taxonomy Code: 2471R0002X

State License TX 19118

A radiologic technologist who specializes in radiation therapy and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy, in administration of radiation therapy, exam techniques, equipment protocols, radiation safety, and patient care.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 19, 2017

Record deactivated on December 19, 2017

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 12411 OAK SPRING RD, TYLER, TX 757096343 (Tel: 9035610303)

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Updated Business Mailing Address July 08, 2007

Registered at 12411 OAK SPRING RD, TYLER, TX 757096343 (Tel: 9035610303)

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Provider Name / Credentials Updated July 08, 2007

Recorded as WAYNE BOULA, R.T.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Radiologic Technologist (License #19118 in TX)

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Initial NPI Registration & Enumeration February 01, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1548308950
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 01, 2007
Last Update: July 08, 2007
Deactivation Date: December 19, 2017

Mailing Address

12411 Oak Spring Rd

Tyler, TX 757096343

Phone: 9035610303

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.