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Nedrana Boutte, M.D.

Family Medicine in Winnie, TX. Individual provider (NPI-1).

NPI number1982805586
StatusActive
Last updated in NPPESJan 5, 2010

Details

NPI
1982805586
Entity type
Individual (NPI-1)
Name
Nedrana Boutte
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
May 30, 2007
Last updated
Jan 5, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineM6974TXYes

Practice location

538 Broadway
Winnie, TX 77665-7600

Phone 409-296-9505 · Fax 409-296-2506

Mailing address

Po Box 714
Winnie, TX 77665-0714

Phone 409-296-9505 · Fax 409-296-2506

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Other Family Medicine Physician providers in Winnie, TX

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