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

Mark Boston, MD

Individual provider Pediatric Otolaryngology Physician · NPI 1023000601

Mark Boston, MD is an Otolaryngology in San Antonio, Texas. Graduated from University of Arizona College of Medicine in 1994, 32 years ago. Practices with Baylor College of Medicine, a 34-clinician group and accepts Medicare assignment. Licensed in Arizona and Texas.

Years since qualifying
32
Trained at
University of Arizona College of Medicine
Licensed in
AZ, TX
In the registry since
2005
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

333 N Santa Rosa St
San Antonio, TX 78207-3108
Phone: (210) 704-4039
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Otolaryngology Physician (primary) Taxonomy 207YP0228X · Licence M6056 (TX)
Pediatric Otolaryngology Physician Taxonomy 207YP0228X · Licence 23534 (AZ)

Record details

NPI number1023000601
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 18, 2005
Last updated in NPPESMarch 17, 2011
Mailing address2200 Bergquist Dr, 59th Sss/Sgoso, Ste 100, Lackland Afb, TX 78236-9907

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Also practisesPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduated 1994 (32 years in practice)
Group practice Baylor College Of Medicine — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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