According to our database, the NPI number for Ethan Boothe MD is 1508209495 and activated since 11 years ago. Ethan Boothe MD is an individual provider who specializes in Diagnostic Radiology, and the primary practice location is 815 Pennsylvania Ave, Fort Worth, TX 76104. You can also contact Ethan Boothe MD via telephone number is (817) 321-0404. Provider NPI information was last updated on 07/25/2019.

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Overview of Ethan Boothe MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 04/10/2013
  • Last updated: 07/25/2019

Primary Scrop of Practice

  • Taxonomy Code: 2085R0202X
  • Specialty: Diagnostic Radiology
  • License Number: Q2741
  • License State: TX

Provider Mailing Address

  • Address: 816 W Cannon St
    Fort Worth, TX 76104
  • Phone: 817-321-0404
  • Fax: 469-522-6889

Provider Practice Location

  • Address: 815 Pennsylvania Ave
    Fort Worth, TX 76104
  • Phone: 817-321-0404
  • Fax:

Scope of Practice

  • Taxonomy Code: 2085R0202X
  • Specialty: Diagnostic Radiology
  • License Number: Q2741
  • License State: TX
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Ethan Boothe MD?
  • A: The npi number for Ethan Boothe MD is 1508209495.
  • Q: What are Ethan Boothe MD's specialties?
  • A: Ethan Boothe MD's specialties are Diagnostic Radiology and different specialities.
  • Q: What is the medical license for Ethan Boothe MD?
  • A: The medical license number for Ethan Boothe MD is Q2741 and issued in TX in USA.
  • Q: Where is Ethan Boothe MD practice location?
  • A: Ethan Boothe MD is practicing at 815 Pennsylvania Ave, Fort Worth, TX 76104.
  • Q: How to contact Ethan Boothe MD?
  • A: You can contact Ethan Boothe MD via 817-321-0404.