Mckennizie Boodram, LAT

NPI #1033586003 in Desoto, Texas

Provider Information

NPI Number: 1033586003
Entity Type: Individual
Name: Mckennizie Boodram, LAT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Contractor
Credential: LAT
Enumeration Date: Aug 26, 2015
Last Updated: Aug 26, 2015

Practice Location

Address: 1525 MOUNTAIN LAUREL LN
City: Desoto
State: Texas
ZIP Code: 75115-5394
Phone: (469) 260-8872

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

Similar Providers

Individual Providers

Provider Name	Specialty	City
MR. Clifford D. Scott	Contractor	Desoto	AI Deep Dive
Byron Sanders	Contractor	Desoto	AI Deep Dive
Olivia Moffett	Contractor	Desoto	AI Deep Dive
MRS. Felicia Olive Lucero	Contractor	Desoto	AI Deep Dive

Organizations

Provider Name	Specialty	City
Emerald Blue Health Care Services	Contractor	Houston	AI Deep Dive

Want to research this healthcare provider further?