Tara Boudoin Deville, NP

NPI #1104184845 in Beaumont, Texas

Provider Information

NPI Number
1104184845
Entity Type
Individual
Name
Tara Boudoin Deville, NP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Credential
NP
Enumeration Date
May 1, 2012
Last Updated
Jun 13, 2018

Practice Location

Address
3195 DOWLEN RD STE 105
State
Texas
ZIP Code
77706
Phone
(409) 204-0257

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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