Provider Demographics
NPI:1851349286
Name:BOOKER, JAMES OVID (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:OVID
Last Name:BOOKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:919 HIDDEN RDG
Mailing Address - Street 2:6TH FLOOR
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75038-3813
Mailing Address - Country:US
Mailing Address - Phone:469-282-2713
Mailing Address - Fax:469-282-2609
Practice Address - Street 1:1920 GALLERIA OAKS DR
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75503-4619
Practice Address - Country:US
Practice Address - Phone:903-792-6114
Practice Address - Fax:903-792-4266
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2016-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE22577208600000X
ARE-7153208600000X
TXL6296208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR04030011900OtherQUALCHOICE
TX162942003Medicaid
AR152101001Medicaid
TXP00065627OtherTRAVELERS MEDICARE
AR152101001OtherARK. MEDICAID
TX162942001Medicaid
OK200018260AOtherOKLA MEDICAID
AR82678OtherAR BLUECROSS
TX8B1842OtherTEXAS BLUE CROSS
AR152101001OtherARK. MEDICAID
TX162942001Medicaid