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Individual
STEVEN KIRKWOOD BOOTON
Active
Individual
STEVEN KIRKWOOD BOOTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G4844
TX
207R00000X
Internal Medicine Physician
Primary
G4844
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00R66E
BC/BS
TX
05
—
136674210
—
TX
Enumeration date
07/11/2006
Last updated
08/19/2013
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