Individual
CORBETT HOWARD BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
140 HILLCREST MEDICAL BLVD STE 2, WACO, TX 76712-8897
(254) 741-1400
(254) 741-1428
Mailing address
PO BOX 848491, DALLAS, TX 75284-8491
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
M5642
TX
207Q00000X
Family Medicine Physician
M5642
TX
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
M5642
TX
Other
Enumeration date
01/15/2007
Last updated
12/03/2021
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