Organization
WILLIAM DAVID BOOTHE MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUANN BOOTHE (ADMINISTRATOR)
(806) 797-6697
Entity
Organization
Contact information
Practice address
4020 21ST ST STE 3, LUBBOCK, TX 79410-1126
(806) 797-6697
(806) 797-6849
Mailing address
4020 21ST ST STE 3, LUBBOCK, TX 79410-1126
(806) 797-6697
(806) 797-6849
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
05/11/2015
Last updated
05/11/2015
Update your record
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