Individual
PATRICK BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 CORPORATE BLVD, SUITE 201, LAFAYETTE, LA 70508-3870
(800) 893-9698
Mailing address
PO BOX 162018, AUSTIN, TX 78716-2018
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
K4375
TX
207R00000X
Internal Medicine Physician
Primary
MD2014-0015
NM
Other
Enumeration date
06/23/2006
Last updated
03/09/2020
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