The Orthopedic And Sports Medicine Institute

LBN: Michael H Boothby, Md, Pa
The Orthopedic And Sports Medicine Institute is an health care organization with primary practice located at 6049 S Hulen St Ste A , Fort Worth TX 76132-4815. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as the primary health care specialty. Michael H Boothby, Md, Pa can be contacted via phone (817) 529-1900, or through Boothby, Michael H via phone (817) 739-5663.

Contact Information

Primary practice address
6049 S Hulen St Ste A Fort Worth TX 76132-4815
Fax: (817) 529-1910
Website:
Authorized official contact:
Name: Boothby, Michael H Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X M1030 Texas

Profile Details

NPI number 1871878876
LBN Legal business name Michael H Boothby, Md, Pa
DBA Doing business as The Orthopedic And Sports Medicine Institute
Authorized official Boothby, Michael H Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 21st, 2011
Last updated Mar 7th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871878876 NPPES
Other 8V9720 BCBS
Other 1669419743 BCBS
Other M1030 BCBS
MEDICAID 182488001 BCBS
Other A0140043 BCBS

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