Brent Boudreaux in Texarkana - Diagnostic Radiology
Brent Boudreaux - NPI 1467423913
Brent Boudreaux is a Diagnostic Radiology in Texarkana, Texas. Brent Boudreaux practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Brent Boudreaux is 1467423913. The last update date is 2014-02-03.
Brent Boudreaux's current location address is Po Box 9600, Texarkana, Texas. You can contact this provider via phone number 8772438416. The mailing address for Brent Boudreaux is Po Box 9600, Texarkana, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brent Boudreaux |
|---|---|
| Address | Po Box 9600, Texarkana, Texas |
| Phone Number | 8772438416 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1467423913 |
|---|---|
| Provider Enumeration Date | 2006-01-31 |
| Last Updated Date | 2014-02-03 |
Provider Mailing Address Detail
| Address | Po Box 9600 |
|---|---|
| City | Texarkana |
| State | Texas (TX) |
| Post Code | 755059600 |
| Phone Number | 8772438416 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 17805 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1347264 | LA | -- |
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What is the unique 10-digit identification code issued to Brent Boudreaux by the Centers for Medicare & Medicaid Services?
The Brent Boudreaux has been assigned the NPI (National Provider Identifier) 1467423913 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Brent Boudreaux is physically located?
The Brent Boudreaux is physically situated at the following address: Po Box 9600, Texarkana, TX, 755059600.
What is Brent Boudreaux's area of expertise and its corresponding taxonomy classification?
The Brent Boudreaux's field of specialization is Diagnostic Radiology, and it falls under the taxonomy code 2085R0202X, which categorizes healthcare providers based on their areas of practice.
On what date did the Brent Boudreaux receive its 1467423913 assignment from the Centers for Medicare & Medicaid Services?
The Brent Boudreaux was assigned its 1467423913 by the Centers for Medicare & Medicaid Services on 2006-01-31.
As of what date were the Brent Boudreaux's details last updated?
The information pertaining to the Brent Boudreaux, including its address, specialty, and other details, was most recently updated on 2014-02-03.