Individual
BRANDI CHERI LE BOEUF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1201 W 38TH ST, AUSTIN, TX 78705-1006
(512) 324-1010
Mailing address
2600 LAKE AUSTIN BLVD, #15102, AUSTIN, TX 78703-4440
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
L8792
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170021301
—
TX
05
—
170021302
—
TX
Enumeration date
05/04/2006
Last updated
03/26/2008
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