Individual
DR. DANIEL A BOUDREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
230 WESTCOTT ST, 215, HOUSTON, TX 77007-7094
(713) 880-4444
(713) 880-3886
Mailing address
230 WESTCOTT ST, 215, HOUSTON, TX 77007-7094
(713) 880-4444
(713) 880-3886
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6967
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8H9620
BLUE CROSS BLUE SHIELD
TX
Enumeration date
12/08/2006
Last updated
11/27/2007
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