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Individual

CARROLL ROBERT BOONE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
520 BLOSSOM ST, WEBSTER, TX 77598-4210
(281) 332-9537
(281) 332-1560
Mailing address
7401 SOUTH MAIN ST, HOUSTON, TX 77030-4509
(713) 799-2300
(713) 794-3380

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
E3532
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
117064902
TX
Enumeration date
10/10/2005
Last updated
01/18/2011
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