| Doctor Name: | MR. PATRICK BOOTHE |
| NPI Number: | 1730341694 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | 2012-01944 |
| Business Practice Address: | 3000 Blackburn St Suite 130 Dallas, TX - 752042200 |
| Business Phone Number: | 2145998624 |
| Business Fax Number: | 2145599156 |
| Mailing Address: | 3400 W Wheatland Rd, Pav Iii, Ste. 360 DALLAS |
| State: | TX |
| Postal Code: | 752374418 |
| Phone Number: | 2148844725 |
| Fax Number: | 2148844749 |
| NPI Enumeration Date: | 07/01/2008 |
| NPI Last Update Date: | 04/01/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 2012-01944 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |