Individual
HOLLI BOOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2431 S LOOP 289, LUBBOCK, TX 79423-1519
(806) 771-8008
(806) 771-8009
Mailing address
2431 S LOOP 289, LUBBOCK, TX 79423-1519
(806) 771-8008
(806) 771-8009
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT82665
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
321582401
—
TX
01
—
8DS362
BLUE CROSS BLUE SHIELD
TX
Enumeration date
04/01/2013
Last updated
07/21/2016
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