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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205832425 | NPPES |
| Texas | MEDICAID | 122946003 |
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