Individual
ROBERT A BOUDREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1028 E IDEL, SUITE A, TYLER, TX 75701
(903) 593-1749
(903) 593-1749
Mailing address
1028 E IDEL, SUITE A, TYLER, TX 75701
(903) 593-1749
(903) 593-1749
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0833
TX
Other
Enumeration date
09/21/2006
Last updated
05/18/2011
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