Individual
THOMAS E BOOTHE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2907 OVERLAND TRL, SUITE 200, SHERMAN, TX 75092-4492
(903) 892-1005
(903) 892-0704
Mailing address
5012 S US HWY 75, SUITE 300, ATTN BILLING, DENISON, TX 75020-4587
(903) 892-1005
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
E4215
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100163920B
—
OK
05
—
128688206
—
TX
Enumeration date
03/23/2006
Last updated
01/26/2018
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