Individual
DARLA DENISE BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
2555 JIMMY JOHNSON BLVD, PORT ARTHUR, TX 77640-2007
(409) 853-5972
Mailing address
2356 ORCHID ST, PORT ARTHUR, TX 77640-1831
(409) 963-8677
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA00622
TX
Other
Enumeration date
10/07/2017
Last updated
10/07/2017
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