Boulet Medical Clinic

NPI #1205921442 in Opelousas, Louisiana

Provider Information

NPI Number: 1205921442
Entity Type: Organization
Organization Name: Boulet Medical Clinic
Primary Specialty: General Practice
Enumeration Date: Oct 4, 2006
Last Updated: Aug 7, 2008

Practice Location

Address: 8676 HIGHWAY 182
City: Opelousas
State: Louisiana
ZIP Code: 70570-5602
Phone: (337) 942-6324

Authorized Official

Name: DR. LOYD HONORE BOULET JR., GP
Title: OWNER
Phone: (337) 942-6324

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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