Boule, Sydney Lane

Boule, Sydney Lane is an individual health care provider with primary practice located at 919 Hidden Rdg Floor 6, Irving TX 75038-3813. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Boule, Sydney Lane can be contacted via phone (469) 282-2713.

Contact Information

Primary practice address
919 Hidden Rdg Floor 6 Irving TX 75038-3813
Phone: (469) 282-2713
Fax: (469) 282-2609
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X P4426 Texas

Profile Details

NPI number 1730470451
LBN Legal business name Boule, Sydney Lane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2011
Last updated Sep 2nd, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730470451 NPPES
Texas MEDICAID 341874101

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