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DR. MICHAEL H BOOTHBY M.D.

Physicians - Orthopaedic Surgery Sports Medicine

Fort Worth, Texas

Provider NPI: 1669419743

Provider Information:
DR. MICHAEL H BOOTHBY M.D.


Practice Location:
2901 ACME BRICK PLZ  FORT WORTH, TX 76109 US
Tel: 817-529-1900  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207XX0005XPhysicians
Orthopaedic Surgery
Sports Medicine
TXM1030

Other Provider Identifiers:

IssuerNumberStateType
TRICARE20549715101
TRICARE36452360801
182488002TX05
BCBS GROUP #0078NR01
AMERIGROUP MEDICAID1007628601
BCBS INDIVIDUAL #8V972001
MEDICARE RRP0005761401
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



ORTHOPAEDIC SURGERY JOBS TX - Page 1



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