Boutte, Nedrana
Boutte, Nedrana is an individual health care provider with primary practice located at 538 Broadway , Winnie TX 77665-7600. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Boutte, Nedrana can be contacted via phone (409) 296-9505.Contact Information
Primary practice address
538 Broadway
Winnie TX 77665-7600
Phone: (409) 296-9505
Fax: (409) 296-2506
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | M6974 | Texas |
Profile Details
| NPI number | 1982805586 |
|---|---|
| LBN Legal business name | Boutte, Nedrana |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 30th, 2007 |
| Last updated | Jan 5th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982805586 | NPPES |
| Texas | Other | 8S2464 | BCBS |
| Texas | MEDICAID | 189110301 | BCBS |
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