Individual
MS. SARAH LOUISE BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
516 LEXINGTON AVE, SAN ANTONIO, TX 78215-1930
(210) 392-0018
Mailing address
PO BOX 90345, SAN ANTONIO, TX 78209-9083
(210) 392-0018
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
425838
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023940901
—
TX
05
—
042549802
—
TX
Enumeration date
08/15/2005
Last updated
12/05/2013
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