Daniel G. Boudreaux in Mandeville - Clinical
Daniel G. Boudreaux - NPI 1720010515
Daniel G. Boudreaux is a Clinical in Mandeville, Louisiana. Daniel G. Boudreaux practices all healthcare services and medical treatments related to Clinical. The NPI Number for Daniel G. Boudreaux is 1720010515. The last update date is 2007-07-08.
Daniel G. Boudreaux's current location address is Po Box 37, Mandeville, Louisiana. You can contact this provider via phone number 9856244100 and fax number 9856244123. The mailing address for Daniel G. Boudreaux is Po Box 37, Mandeville, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Daniel G. Boudreaux |
|---|---|
| Address | Po Box 37, Mandeville, Louisiana |
| Phone Number | 9856244100 |
| Fax Number | 9856244123 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1720010515 |
|---|---|
| Provider Enumeration Date | 2006-07-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 37 |
|---|---|
| City | Mandeville |
| State | Louisiana (LA) |
| Post Code | 704700037 |
| Phone Number | 9856244100 |
| Fax Number | 9856244123 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCSW#5479 |
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What is the unique 10-digit identifier code issued to Daniel G. Boudreaux by the Centers for Medicare & Medicaid Services?
The Daniel G. Boudreaux has been assigned the NPI (National Provider Identifier) 1720010515 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Daniel G. Boudreaux's facilities are geographically located?
The facilities of Daniel G. Boudreaux are physically situated at the following location: Po Box 37, Mandeville, LA, 704700037.
What is Daniel G. Boudreaux's area of expertise and its corresponding taxonomy classification?
The Daniel G. Boudreaux's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Daniel G. Boudreaux receive the assignment of its 1720010515 from the Centers for Medicare & Medicaid Services?
The Daniel G. Boudreaux was issued its 1720010515 by the Centers for Medicare & Medicaid Services on 2006-07-06.
When was the information related to Daniel G. Boudreaux most recently updated or refreshed?
The details pertaining to the Daniel G. Boudreaux, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.