Individual
DR. GRANT A. BOOHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 12TH AVE STE 168, FORT WORTH, TX 76104-3947
(682) 337-7463
(682) 337-7464
Mailing address
PO BOX 185, FORT WORTH, TX 76101-0185
(682) 337-7463
(817) 878-5334
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
R3479
TX
Other
Enumeration date
05/16/2012
Last updated
05/07/2021
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