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
Phone: (817) 529-1900
Fax: (817) 529-1910
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1871878876 | NPPES |
Other | 8V9720 | BCBS | |
Other | 1669419743 | BCBS | |
Other | M1030 | BCBS | |
MEDICAID | 182488001 | BCBS | |
Other | A0140043 | BCBS |
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