Individual
CRAIG S BOUDREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1169 GRAND CENTRAL PKWY, CONROE, TX 77304-3185
(936) 525-3600
(936) 525-3624
Mailing address
690 S LOOP 336 W STE 200, CONROE, TX 77304-3320
(936) 525-3600
(936) 525-3624
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K4639
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8K5426
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/05/2006
Last updated
11/20/2024
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