Individual
JULIE BOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6701 FANNIN ST, HOUSTON, TX 77030-2316
(832) 822-3436
(832) 825-3455
Mailing address
6701 FANNIN ST, HOUSTON, TX 77030-2316
(832) 822-3436
(832) 825-3455
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
J5546
TX
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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