Individual
MISS ANNE ROSETTE BOUELE MBOULE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2301 N COLLINS ST, SUITE 100, ARLINGTON, TX 76011-2659
(817) 704-7339
(682) 558-8008
Mailing address
2301 N COLLINS ST, SUITE 100, ARLINGTON, TX 76011-2659
(817) 704-7339
(682) 558-8008
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
29656
AL
208000000X
Pediatrics Physician
Primary
P6342
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116029
—
AL
05
—
218565401
—
TX
05
—
218565403
—
TX
Enumeration date
07/03/2007
Last updated
04/01/2021
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