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Individual

DR. BENJAMIN D BOONE JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1626 W HIGHWAY 287 BUSINESS, SUITE 108, WAXAHACHIE, TX 75165-4712
(972) 938-7177
(972) 937-4600
Mailing address
1626 W BUSINESS 287, STE 108, WAXAHACHIE, TX 75165-4728
(972) 938-7177
(972) 937-4600

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
F8021
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
P000TD705
TX
Enumeration date
01/17/2007
Last updated
01/05/2015
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