Provider profile

Individual

Ethan Boothe

Radiology in Fort Worth, TX. NPI 1508209495, listed in the CMS NPI Registry since 04/10/2013. Bills Medicare.

NPI 1508209495Specialty RadiologyEnumerated 04/10/2013
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14 days free, no card

Registry and Medicare facts

Practice location
815 Pennsylvania Ave, Fort Worth, TX 76104
CMS NPI Registry
Phone
(817) 321-0404
CMS NPI Registry
Specialty
Radiology
CMS NPI Registry
Subspecialty
Diagnostic Radiology
CMS NPI Registry
Enumeration date
04/10/2013
CMS NPI Registry
Bills Medicare
Yes
CMS Medicare 2024
Medicare patients
2,883 Part B
CMS Medicare 2024

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