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Stephanie Ann Booth, MD
Specialist in Austin, Texas
NPI 1356300990

Stephanie Ann Booth is a Specialist based in Austin, TX. Stephanie Ann Booth practices in Austin, TX and has the professional credentials of MD. The NPI Number for Stephanie Ann Booth is 1356300990 and holds a License No. M1029 (Texas).

The current practice location address for Stephanie Ann Booth is 1301 W 38Th St, Austin, TX and can be reached out via phone at 512-454-3631.

Location: 1301 W 38Th St, Austin, TX, 78705-1000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356300990
Provider Name
Stephanie Ann Booth
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1301 W 38Th St, Austin, TX, 78705-1000
Phone Number
512-454-3631
Fax Number
Provider Enumeration Date
03/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1744773-02 05 TX
1744773-01 05 TX
institution
Provider Business Practice Location Address Details
Address
1301 W 38Th St
City
Austin
State
Texas
Zip
78705-1000
Phone Number
512-454-3631
Fax Number
person
Provider Business Mailing Address Details
Address
1301 W 38Th St
City
Austin
State
Texas
Zip
78705-1000
Phone Number
512-454-3631
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
M1029 (Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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