Individual
DR. TIMOTHY BOLTON BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD,PHD
Contact information
Practice address
6560 FANNIN ST, SUITE 2100, HOUSTON, TX 77030-2761
(713) 798-4637
(713) 798-8185
Mailing address
6560 FANNIN ST, SUITE 2100, HOUSTON, TX 77030-2761
(713) 798-4637
(713) 798-8185
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
H1343
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8AP709
BLUE CROSS BLUE SHIELD
TX
01
—
P00633959
RAILROAD MEDICARE
TX
01
—
P01062991
RAILROAD MEDICARE
TX
Enumeration date
10/12/2006
Last updated
03/26/2016
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