Individual
MICHAEL K BOONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3100 N LEE TREVINO DR STE B, EL PASO, TX 79936-2116
(915) 533-7465
(915) 534-1185
Mailing address
3100 N LEE TREVINO DR STE B, EL PASO, TX 79936-2116
(915) 533-7465
(915) 534-1185
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
H4177
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114946002
—
TX
Enumeration date
01/18/2006
Last updated
12/28/2018
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