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Organization
STEVEN K. BOOTON, M.D., P.A.
Active
Organization
STEVEN K. BOOTON, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN K. BOOTON M.D. (OWNER)
(512) 381-5599
Entity
Organization
Contact information
Practice address
720 W 34TH ST, SUITE 100, AUSTIN, TX 78705-1205
(512) 381-5599
(512) 323-0307
Mailing address
720 W 34TH ST, SUITE 100, AUSTIN, TX 78705-1205
(512) 381-5599
(512) 323-0307
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G4844
TX
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
G4844
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0045XV
BCBS
TX
05
—
311637801
—
TX
Enumeration date
06/11/2012
Last updated
08/19/2013
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