Individual
ROBERT THOMAS BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-5306
Mailing address
4513 STAGECOACH TRL, TEMPLE, TX 76502-3869
(806) 317-2017
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
BP10040117
TX
Other
Enumeration date
05/23/2011
Last updated
05/23/2011
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