Michael H Boothby in Fort Worth - Sports Medicine
Michael H Boothby - NPI 1669419743
Michael H Boothby is a Sports Medicine in Fort Worth, Texas. Michael H Boothby practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Michael H Boothby is 1669419743. The last update date is 2020-10-08.
Michael H Boothby's current location address is 2901 Acme Brick Plz, Fort Worth, Texas. You can contact this provider via phone number 8175291900 and fax number 8175291910. The mailing address for Michael H Boothby is 2901 Acme Brick Plz, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael H Boothby |
|---|---|
| Address | 2901 Acme Brick Plz, Fort Worth, Texas |
| Phone Number | 8175291900 |
| Fax Number | 8175291910 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1669419743 |
|---|---|
| Provider Enumeration Date | 2006-05-31 |
| Last Updated Date | 2020-10-08 |
Provider Mailing Address Detail
| Address | 2901 Acme Brick Plz |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761094124 |
| Phone Number | 8175291900 |
| Fax Number | 8175291910 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | M1030 |
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Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P01010705 | TX | MEDICARE RAILROAD | |
| 182488002 | TX | -- | |
| 8V9720 | BCBS INDIVIDUAL # |
Post Comment/ Review Below
What is the unique provider identifier assigned to Michael H Boothby?
The Michael H Boothby has been issued the NPI (National Provider Identifier) 1669419743 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Michael H Boothby's facilities are situated?
The facilities of Michael H Boothby are physically located at the following address: 2901 Acme Brick Plz, Fort Worth, TX, 761094124.
What is Michael H Boothby's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Michael H Boothby is Sports Medicine, and the taxonomy code that categorizes this field of expertise is 207Xx0005X.
On what date did the Michael H Boothby receive its 1669419743 assignment from the Centers for Medicare & Medicaid Services?
The Michael H Boothby was assigned its 1669419743 by the Centers for Medicare & Medicaid Services on 2006-05-31.
When was the information regarding Michael H Boothby most recently updated?
The details pertaining to the Michael H Boothby, including its address, specialty, and other relevant information, were last refreshed on 2020-10-08.
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