Boothe, William David

Boothe, William David is an individual health care provider with primary practice located at 12210 Quaker Ave Ste 3, Lubbock TX 79424-7942. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Boothe, William David can be contacted via phone (806) 792-5900.

Contact Information

Primary practice address
12210 Quaker Ave Ste 3 Lubbock TX 79424-7942
Phone: (806) 792-5900
Fax: (806) 792-6092
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X F3769 Texas

Profile Details

NPI number 1205832425
LBN Legal business name Boothe, William David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Jan 22nd, 2020 - about 4 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 1205832425 NPPES
Texas MEDICAID 122946003

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