Individual
TARA BOUDOIN DEVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3195 DOWLEN RD STE 105, BEAUMONT, TX 77706
(409) 204-0257
Mailing address
3195 DOWLEN RD STE 105, BEAUMONT, TX 77706-7272
(409) 204-0257
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
712309
TX
Other
Enumeration date
05/01/2012
Last updated
06/13/2018
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