Individual
BEAU DAVID BOUDREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
726 N ACADIA RD STE 3400, THIBODAUX, LA 70301-5009
(985) 449-4656
Mailing address
PO BOX 5478, THIBODAUX, LA 70302-5478
(985) 449-4656
(985) 449-2532
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD.207047
LA
207RR0500X
Rheumatology Physician
Primary
MD.207047
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2153200
—
LA
Enumeration date
05/10/2011
Last updated
07/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us