Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | D1554 | TX |
NPI | 1225085202 |
---|---|
Provider Name | Dr. David M. Bookout |
First Address | Dallas, TX 75231-4217 |
Second Address | Dallas, TX 75231-4217 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2006 |
Last Update Date | 21/04/2011 |