Individual
WILLIAM DAVID BOOTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12210 QUAKER AVE, STE 3, LUBBOCK, TX 79424-7942
(806) 792-5900
(806) 792-6092
Mailing address
12210 QUAKER AVE, LUBBOCK, TX 79424-1197
(806) 792-5900
(806) 792-6092
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
F3769
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122946003
—
TX
Enumeration date
06/22/2005
Last updated
01/22/2020
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