Provider Demographics
NPI:1225085202
Name:BOOKOUT, DAVID M (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:M
Last Name:BOOKOUT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:DAVID
Other - Middle Name:M
Other - Last Name:BOOKOUT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD, FACOG
Mailing Address - Street 1:8305 WALNUT HILL
Mailing Address - Street 2:SUITE 100
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4217
Mailing Address - Country:US
Mailing Address - Phone:214-363-7801
Mailing Address - Fax:214-635-3410
Practice Address - Street 1:8305 WALNUT HILL
Practice Address - Street 2:SUITE 100
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4217
Practice Address - Country:US
Practice Address - Phone:214-363-7801
Practice Address - Fax:214-635-3410
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2011-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD1554207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
840361Medicare PIN