Organization
BOUTTE FAMILY PRACTICE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA SIMON (OFFICE MGR)
(409) 466-7412
Entity
Organization
Contact information
Practice address
233 SPUR 5, WINNIE, TX 77665-7308
(409) 296-2910
(409) 296-3003
Mailing address
PO BOX 2183, WINNIE, TX 77665-2183
(409) 296-2910
(409) 296-3003
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/07/2024
Last updated
02/08/2024
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