Boone, Timothy Bolton

Boone, Timothy Bolton is an individual health care provider with primary practice located at 6560 Fannin St Suite 2100, Houston TX 77030-2761. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Boone, Timothy Bolton can be contacted via phone (713) 798-4637.

Contact Information

Primary practice address
6560 Fannin St Suite 2100 Houston TX 77030-2761
Phone: (713) 798-4637
Fax: (713) 798-8185
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X H1343 Texas

Profile Details

NPI number 1609965896
LBN Legal business name Boone, Timothy Bolton
Credentials MD,PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Mar 26th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609965896 NPPES
Texas Other 8AP709 BLUE CROSS BLUE SHIELD
Texas Other P00633959 BLUE CROSS BLUE SHIELD
Texas Other P01062991 BLUE CROSS BLUE SHIELD

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