Individual
MR. ALLAN BOUDREAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, RN, CCNS, CEN
Contact information
Practice address
3851 ROGER BROOKE DR., MCHE-QD (CREDS), BROOKE ARMY MEDICAL CENTER, FORT SAM HOUSTON, TX 78234-6200
(210) 916-3390
Mailing address
3851 ROGER BROOKE DR., MCHE-QD (CREDS), BROOKE ARMY MEDICAL CENTER, FORT SAM HOUSTON, TX 78234-6200
(210) 916-3390
Taxonomy
Speciality
Code
Description
License number
State
364SE0003X
Emergency Clinical Nurse Specialist
Primary
793185
TX
Other
Enumeration date
01/21/2011
Last updated
01/21/2011
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