Individual provider · NPI-1

Craig S Boudreaux, DO

Family Medicine · Conroe, TX

NPI number1497785117
StatusActive
Last updated in NPPESJul 31, 2026

Details

NPI
1497785117
Entity type
Individual (NPI-1)
Name
Craig S Boudreaux
Credential
DO
Sex
Male
Sole proprietor
No
Enumeration date
Jul 5, 2006
Certification date
Jul 31, 2026
Last updated
Jul 31, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineK4639TXYes

Practice location

1169 Grand Central Pkwy
Conroe, TX 77304-3185

Phone 936-525-3600 · Fax 936-525-3624

Mailing address

1169 Grand Central Pkwy
Conroe, TX 77304-3185

Phone 936-525-3600 · Fax 936-525-3624

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine providers in Conroe, TX