Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Courtney Lyn Bostrom, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104566678

Courtney Lyn Bostrom, MD is a Family Practice in Dallas, Texas. Graduated from University of Minnesota Medical School in 2022, 4 years ago. Practices with Healthtexas Provider Network, a 2,539-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
4
Trained at
University of Minnesota Medical School
Licensed in
TX
In the registry since
2022
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3500 Gaston Ave
Dallas, TX 75246-2017
Phone: (214) 820-0111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence V5057 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1104566678
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 31, 2022
Last updated in NPPESAugust 6, 2025
Certification dateAugust 6, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2022 (4 years in practice)
Group practice Healthtexas Provider Network — 2539 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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