Felicia Boutte, PA

NPI #1205146081 in Kingwood, Texas

Provider Information

NPI Number: 1205146081
Entity Type: Individual
Name: Felicia Boutte, PA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Oct 14, 2010
Last Updated: Dec 14, 2022

Practice Location

Address: 4435 KINGWOOD DR
City: Kingwood
State: Texas
ZIP Code: 77339-3701
Phone: (281) 783-8162

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant	363A00000X	Primary

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