Individual
DR. MARY NELL BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6701 FANNIN ST. SUITE 1400, HOUSTON, TX 77030
(713) 504-3132
(832) 825-1032
Mailing address
6701 FANNIN ST. SUITE 1400, HOUSTON, TX 77030
(713) 504-3132
(832) 825-1032
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
L2682
TX
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
L2682
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165567202
—
TX
01
—
165567203
CIDC
TX
Enumeration date
05/27/2006
Last updated
05/24/2023
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