Individual
COURTNEY BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
14180 DALLAS PKWY, DALLAS, TX 75254-4341
(469) 391-0070
Mailing address
5009 WHITE SETTLEMENT RD APT 1401, FORT WORTH, TX 76114-3957
(325) 669-5745
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA14763
TX
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
06/08/2021
Last updated
05/11/2023
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