MICHELE C BOSWORTH (MD) – Family Medicine Physician, NPI 1043275563

Family Medicine Physician

MICHELE C BOSWORTH (MD) is a healthcare provider. based in Dallas, Texas. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. N1269 (TX). The NPI Number for MICHELE C BOSWORTH (MD) is 1043275563

Main info

Female

23 Years Of Experience

Accepts Medicare Assignment

Name

MICHELE C BOSWORTH (MD)

NPI

1043275563

Phone

(903) 877-7777

Address

PO BOX 731912

Enumeration Date

18 April 2006

Last Update Date

10 October 2016

Doctor Profile

Medical School Name

WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE

Secondary Phone

9038777777

Graduation Year

2003 (23 years ago)

PAC ID

7012913189

Group Practice PAC ID

4981699220

Professional Enrollment ID

I20090212000698

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience54

Completeness75

Years active:20State licenses:1Digital endpointsOther names

Loading map...

Provider Addresses for MICHELE C BOSWORTH (MD)

Band Box Place, Dallas, Dallas County, Texas, 75244, United States
DALLAS, TX 753731912
Phone: (903) 877-7777
Fax: (903) 877-5080
Type: Mailing
University of Texas Health Science Center at Tyler, 11937, US Highway 271, Tyler, Smith County, Texas, 75708, United States
TYLER, TX 757083154
Phone: (903) 877-7777
Fax: (903) 877-5080
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75373)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 4981699220View full group profile

Name	Specialty	State
KRISTINA PHAM (DO)	P S Y C H I A T R Y	LA
DR. RALPH HEMERSON DE SIMILIEN (M.D.)	-	TX
JENNIFER FLORES (APRN, FNP-C)	Nurse Practitioner	TX
RODOLFO AMARO-GALVEZ (MD)	Pediatric Medicine, Pulmonary Disease	TX
SANDRA PEREZ (FNP-BC)	Nurse Practitioner	TX
MRS. MYRTHA BASILE (M.D.)	-	TX
RICHARD JAMES JR. WALLACE (MD)	-	TX
DR. JARETT D. BERRY (MD)	Cardiovascular Disease (Cardiology), Internal Medicine	TX
DR. KATRINA Y. GLOVER (M.D.)	Hematology/Oncology, Internal Medicine	TX
DR. CRYSTAL L. I FRAZIER (PSY.D., M.P.A.)	-	TX