Booth, Sarah Louise

Booth, Sarah Louise is an sole proprietor health care provider with primary practice located at 516 Lexington Ave , San Antonio TX 78215-1930. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Booth, Sarah Louise can be contacted via phone (210) 392-0018.

Contact Information

Primary practice address
516 Lexington Ave San Antonio TX 78215-1930
Phone: (210) 392-0018
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 425838 Texas

Profile Details

NPI number 1689676090
LBN Legal business name Booth, Sarah Louise
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2005
Last updated Dec 5th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689676090 NPPES
Texas MEDICAID 023940901
Texas MEDICAID 042549802

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