Robert A Boudreau in Tyler - Foot & Ankle Surgery
Robert A Boudreau - NPI 1326147281
Robert A Boudreau is a Foot & Ankle Surgery in Tyler, Texas. Robert A Boudreau practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Robert A Boudreau is 1326147281. The last update date is 2011-05-18.
Robert A Boudreau's current location address is 1028 E Idel, Tyler, Texas. You can contact this provider via phone number 9035931749 and fax number 9035931749. The mailing address for Robert A Boudreau is 1028 E Idel, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert A Boudreau |
|---|---|
| Address | 1028 E Idel, Tyler, Texas |
| Phone Number | 9035931749 |
| Fax Number | 9035931749 |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1326147281 |
|---|---|
| Provider Enumeration Date | 2006-09-21 |
| Last Updated Date | 2011-05-18 |
Provider Mailing Address Detail
| Address | 1028 E Idel |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 75701 |
| Phone Number | 9035931749 |
| Fax Number | 9035931749 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | 833 |
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Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Robert A Boudreau by the Centers for Medicare & Medicaid Services?
The Robert A Boudreau has been issued the NPI (National Provider Identifier) 1326147281 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Robert A Boudreau's facilities are geographically located?
The facilities of Robert A Boudreau are physically situated at the following location: 1028 E Idel, Tyler, TX, 75701.
What is the Robert A Boudreau's area of specialization and corresponding taxonomy classification?
The Robert A Boudreau's specialty field is Foot & Ankle Surgery, and it falls under the taxonomy code 213Es0103X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1326147281 to Robert A Boudreau?
The Centers for Medicare & Medicaid Services originally issued the 1326147281 to Robert A Boudreau on 2006-09-21.
When was the information pertaining to Robert A Boudreau most recently updated or revised?
The details related to Robert A Boudreau, including its address, specialty, and other relevant information, were last updated or revised on 2011-05-18.