Kathleen Boone, M.S.
Individual provider Active NPI Audiologist · Colleyville, TX
NPI 1073971636 · NPPES record last updated Feb 10, 2016
Key facts
- NPI
- 1073971636
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- 50114 (TX)
- Practice address
- 6423 Bordeaux Park
Colleyville, TX 76034-7625 - Phone
- (210) 862-1953
- NPI assigned
- Feb 10, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50114 | TX | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 50114 | TX | Yes |
Addresses
Primary practice location
6423 Bordeaux Park
Colleyville, TX 76034-7625
Mailing address
6423 Bordeaux Park
Colleyville, TX 76034-7625
Phone (210) 862-1953
Other providers in Colleyville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.