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Individual

BRENDA LEIGH BOOTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OPA

Contact information

Practice address
14090 SOUTHWEST FWY STE 130, SUGAR LAND, TX 77478-3683
(281) 491-7111
(281) 491-0033
Mailing address
14090 SOUTHWEST FWY STE 130, SUGAR LAND, TX 77478-3683
(281) 491-7111
(281) 491-0033

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1119
TX

Other

Enumeration date
01/16/2013
Last updated
01/16/2013
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