Individual
SARAH YORK BOOSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1705 OHIO DR STE 100, PLANO, TX 75093-5256
(972) 612-0430
(844) 585-6193
Mailing address
1705 OHIO DR STE 100, PLANO, TX 75093-5256
(972) 612-0430
(844) 585-6193
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
P6341
TX
208C00000X
Colon & Rectal Surgery Physician
Primary
P6341
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3293961-01
—
TX
05
—
450007000
—
MN
Enumeration date
03/29/2007
Last updated
10/21/2025
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