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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DANIEL ALEXANDER BOUDREAU, D.O.09/29/1935

Active Sole Proprietor

DANIEL ALEXANDER BOUDREAU, D.O.09/29/1935 is a Vascular Surgery healthcare provider located in CORPUS CHRISTI, Texas. NPI 1346349453 is currently active in the NPPES registry. Verify at CMS.

Vascular Surgery · CORPUS CHRISTI, TX

Registration Details

NPI Number
1346349453
Provider Type
Individual
Gender
Male
NPI Issued
Sep 22, 2006 (19.903701462679 yrs)
Last Updated
Feb 29, 2008
Licenses
D-5354 (TX)
D-5354 (TX)
Sole Proprietor
Yes

Practice Information

Address
5833 SPOHN DR STE 401
CORPUS CHRISTI, TX, 784144136
Browse TX providers · Browse ZIP 78414
Phone
3619929432
Primary Specialty
Vascular Surgery
208VP0000X
Additional Specialty
Vascular Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.