ETHAN BOOTHE

FORT WORTH, TX
NPI1508209495
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: TX  Q2741)
Enumeration Date2013-04-10
Last Update Date2019-07-25
Business Address
ETHAN BOOTHE MD
815 PENNSYLVANIA AVE
FORT WORTH, TX 76104-2224
Phone number: 817-321-0404
Mailing Address
ETHAN BOOTHE MD
816 W CANNON ST
FORT WORTH, TX 76104-3146
Phone number: 817-321-0404
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