| Steven K. Booton, M.d., P.a. | |
|
720 W 34th St Suite 100 Austin TX 78705-1205 | |
| (512) 381-5599 | |
| (512) 323-0307 |
| Full Name | Steven K. Booton, M.d., P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 720 W 34th St, Austin, Texas |
| Authorized Official Name and Position | Steven K. Booton (OWNER) |
| Authorized Official Contact | 5123815599 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven K. Booton, M.d., P.a. 720 W 34th St Suite 100 Austin TX 78705-1205 Ph: (512) 381-5599 | Steven K. Booton, M.d., P.a. 720 W 34th St Suite 100 Austin TX 78705-1205 Ph: (512) 381-5599 |
| NPI Number | 1063774602 |
|---|---|
| Provider Enumeration Date | 06/11/2012 |
| Last Update Date | 08/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063774602 | NPI | - | NPPES |
| 311637801 | Medicaid | TX | |
| 0045XV | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G4844 (Texas) | Primary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | G4844 (Texas) | Secondary |
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