Provider Demographics
NPI:1386826758
Name:BOOTIN AND SAVRICK PEDIATRIC ASSOCIATES
Entity Type:Organization
Organization Name:BOOTIN AND SAVRICK PEDIATRIC ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:M
Authorized Official - Last Name:BOOTIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-795-9500
Mailing Address - Street 1:7501 FANNIN ST
Mailing Address - Street 2:SUITE 850
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-1938
Mailing Address - Country:US
Mailing Address - Phone:713-795-9500
Mailing Address - Fax:713-795-9590
Practice Address - Street 1:7501 FANNIN ST
Practice Address - Street 2:SUITE 850
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-1938
Practice Address - Country:US
Practice Address - Phone:713-795-9500
Practice Address - Fax:713-795-9590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-28
Last Update Date:2014-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty