Individual
BRIAN BOONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6225 N STATE HIGHWAY 161 STE 200, IRVING, TX 75038-2241
(214) 687-0001
(972) 518-2100
Mailing address
205 GASTON CIR, ELIZABETHTOWN, KY 42701-4914
(270) 313-3866
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1156707
KY
Other
Enumeration date
01/12/2024
Last updated
01/29/2024
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