Beau David Boudreaux, M.D.
Internal Medicine, Rheumatology in Thibodaux, LA. Individual provider (NPI-1).
NPI number1972895886
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1972895886
- Entity type
- Individual (NPI-1)
- Name
- Beau David Boudreaux
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 10, 2011
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RR0500X | Internal Medicine, Rheumatology | MD.207047 | LA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | |
| 207R00000X | Internal Medicine | MD.207047 | LA |
Practice location
726 N Acadia Rd Ste 3400Thibodaux, LA 70301-5009
Phone 985-449-4656
Mailing address
Po Box 5478Thibodaux, LA 70302-5478
Phone 985-449-4656 · Fax 985-449-2532
Other practice locations
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