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1184073629
MICHAEL BOOTH
GRAND PRAIRIE, TX
NPI
1184073629
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX s3124)
Enumeration Date
2016-06-06
Last Update Date
2024-04-10
Business Address
Dr. MICHAEL BOOTH MD
2520 W I 20
GRAND PRAIRIE, TX 75052-7280
Phone number: 722-645-8589
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Mailing Address
Dr. MICHAEL BOOTH MD
2520 W I 20
GRAND PRAIRIE, TX 75052-7280
Phone number: 972-264-5858
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