Individual
HILARY PARK BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1425 8TH AVE, FORT WORTH, TX 76104-4151
(817) 926-4118
(817) 926-4362
Mailing address
1425 8TH AVE, FORT WORTH, TX 76104-4151
(817) 926-4118
(817) 926-4362
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
827189
TX
363LW0102X
Women's Health Nurse Practitioner
Primary
827189
TX
Other
Enumeration date
09/13/2012
Last updated
04/25/2018
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