Dr. Michael C Boothe, M.D.
Physical Medicine & Rehabilitation in Arlington, TX. Individual provider (NPI-1).
NPI number1184852717
StatusActive
Last updated in NPPESMay 6, 2013
Details
- NPI
- 1184852717
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michael C Boothe
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 22, 2009
- Last updated
- May 6, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | H 6063 | TX | Yes |
| 207QB0002X | Family Medicine, Bariatric Medicine | H6063 | TX | |
| 207V00000X | Obstetrics & Gynecology | H6063 | TX |
Practice location
2819 Medlin DrArlington, TX 76015-2329
Phone 817-303-6800 · Fax 817-303-6832
Mailing address
2819 Medlin DrArlington, TX 76015-2329
Phone 817-303-6800 · Fax 817-303-6832
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