Individual
DR. JAMES OVID BOOKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1920 GALLERIA OAKS DR, TEXARKANA, TX 75503-4619
(903) 792-6114
(903) 792-4266
Mailing address
919 HIDDEN RDG, 6TH FLOOR, IRVING, TX 75038-3813
(469) 282-2713
(469) 282-2609
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
E-7153
AR
208600000X
Surgery Physician
Primary
E22577
TX
208600000X
Surgery Physician
L6296
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04030011900
QUALCHOICE
AR
01
—
152101001
ARK. MEDICAID
AR
05
—
152101001
—
AR
05
—
162942001
—
TX
05
—
162942003
—
TX
01
—
200018260A
OKLA MEDICAID
OK
01
—
82678
AR BLUECROSS
AR
01
—
8B1842
TEXAS BLUE CROSS
TX
01
—
P00065627
TRAVELERS MEDICARE
TX
Enumeration date
05/05/2006
Last updated
09/02/2016
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