Organization
MICHAEL H BOOTHBY, MD PA
Active
Other names
The Orthopedic and Sports Medicine Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL H BOOTHBY MD (OWNER)
(817) 529-1900
Entity
Organization
Contact information
Practice address
2901 ACME BRICK PLZ, FORT WORTH, TX 76109-4124
(817) 529-1900
(817) 529-1910
Mailing address
2901 ACME BRICK PLZ, FORT WORTH, TX 76109-4124
(817) 529-1900
(817) 529-1910
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
297334901
—
TX
Enumeration date
10/21/2011
Last updated
11/06/2024
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