CRAIG S BOUDREAUX (NPI# 1497785117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497785117 |
| Entity Type | Individual |
| Full Name | CRAIG S BOUDREAUX |
| Credential | DO |
| Practice Address |
4775 W Panther Creek Dr #345 The Woodlands TX 77381-3579 |
| Practice Telephone | 2812921192 |
| Practice Fax Number | 2813670396 |
| Mailing Telephone | 2812921192 |
| Mailing Fax Number | 2813670396 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2012-05-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | K4639 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS BLUE SHIELD | 8K5426 | 01 |
| Street Address |
4775 W PANTHER CREEK DR #345 |
| City | THE WOODLANDS |
| State | TX |
| Zip Code | 77381-3579 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467077784 | Camquyen Thi Nguyen | Pharmacist | 4775 W Panther Creek Dr, The Woodlands, TX 77381-3592 | 2020-06-11 |
| 1922440387 | Tammi Graham | Optometrist | 4775 W Panther Creek Dr, Ste 230, The Woodlands, TX 77381-3592 | 2013-07-25 |
| 1093092355 | Panther Creek Family Dentistry | Dentist | 4775 W Panther Creek Dr, Suite B265, The Woodlands, TX 77381-3592 | 2011-11-14 |
| 1437453172 | Patricia Obulaney | Nurse Practitioner | 4775 W Panther Creek Dr, Suite 345, The Woodlands, TX 77381-3592 | 2011-01-10 |
| 1205130945 | Tamara Lankford | Physician Assistant | 4775 W Panther Creek Dr, Suite 345, The Woodlands, TX 77381-3592 | 2011-01-10 |
| 1184928921 | Stephanie Davis | Nurse Practitioner | 4775 W Panther Creek Dr, Suite 345, The Woodlands, TX 77381-3592 | 2011-01-10 |
| 1770895518 | Mary Stumph | Pharmacist | 4775 W Panther Creek Dr, The Woodlands, TX 77381-3592 | 2010-07-09 |
| 1679885586 | Beverly Schindler | Pharmacist | 4775 W Panther Creek Dr, The Woodlands, TX 77381-3592 | 2010-07-08 |
| 1689986580 | Kimberly Prahl | Pharmacist | 4775 W Panther Creek Dr, The Woodlands, TX 77381-3592 | 2010-07-08 |
| 1760618920 | Tamara Lynn Small | Family Medicine | 4775 W Panther Creek Dr, Ste 345, The Woodlands, TX 77381-3592 | 2009-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073128856 | Y2k Services, LLC | Non-emergency Medical Transport (VAN) | 74 Natures Harp Ct, Spring, TX 77381 | 2020-09-09 |
| 1073173274 | Woodlands Oral & Maxillofacial Surgery | Dentist | 4850 W. Panther Creek Drive Suite 106, The Woodlands, TX 77381 | 2019-06-19 |
| 1740793595 | Brazo Pharmacy LLC | Pharmacy | 2700 Technology Forest Blvd Ste 200, The Woodlands, TX 77381 | 2017-11-14 |
| 1275045288 | Marney Vitthal | Speech-Language Pathologist | 2 Cranberry Bend, Spring, TX 77381 | 2017-10-31 |
| 1205293453 | Add Health and Wellness of The Woodlands, LLC | Counselor | 2700 Research Forest Dr #130, The Woodlands, TX 77381 | 2016-01-19 |
| 1669851879 | Supplemental Healthcare Inc. | Rehabilitation Unit | 333 Holly Creek Ct Apt 1708, The Woodlands, TX 77381 | 2015-05-20 |
| 1932526894 | Hung Van Doan | Acupuncturist | 9001 Forest Crossing Drive, Suite F, Houston, TX 77381 | 2014-03-27 |
| 1215358726 | Dustin Etemadi | Chiropractor | 4810 W. Panther Creek Dr., Suite 105, The Woodlands, TX 77381 | 2013-12-31 |
| 1194075697 | The Woodlands Eating Disorders Center | Psychologist | 4840 W. Panther Creek Dr., Ste. 212, The Woodlands, TX 77381 | 2012-09-12 |
| 1386992980 | Proteome Diagnostics, LLC | Clinical Medical Laboratory | 79 N. Misty Morning Trace, Spring, TX 77381 | 2012-08-29 |
| Find all providers in zip 77381 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699976 | Dr. G Medical Solutions | Family Medicine | 4840 W Panther Creek Dr Ste 211, The Woodlands, TX 77381-3542 | 2020-11-05 |
| 1326603069 | Javier Eduardo Sosa Rodriguez PC | Family Medicine | 25511 Budde Rd Ste 3502, The Woodlands, TX 77380-2080 | 2019-05-08 |
| 1952874687 | Zmediclinic Providers, Pa | Family Medicine | 314 Sawdust Rd Ste 119, The Woodlands, TX 77380-2345 | 2019-01-04 |
| 1114375227 | Jessica Nu Glick | Family Medicine | 10020 Research Forest Dr, The Woodlands, TX 77354-6780 | 2016-05-31 |
| 1740549542 | North Woods Family Medicine Pllc | Family Medicine | 17350 St.luke's Way, Suite 350, The Woodlands, TX 77384 | 2012-05-14 |
| 1558620559 | Scarborough Family Medicine Pllc | Family Medicine | 3 Watermint Pl, The Woodlands, TX 77384-4770 | 2012-05-10 |
| 1841559929 | Unlimited Patient Care Center Pllc | Family Medicine | 22 Picasso Path Pl, The Woodlands, TX 77382-2047 | 2012-05-10 |
| 1669790085 | Bik Primary Care Inc. | Family Medicine | 9006 Forest Crossing, Suite B, The Woodlands, TX 77381 | 2010-05-10 |
| 1669709556 | Woodlands I-45 Medical Center Pllc | Family Medicine | 29801 Interstate 45, Suite 101, The Woodlands, TX 77381-1196 | 2009-11-12 |
| 1104054931 | Tommy Michael Cryer | Family Medicine | 9 N Longspur Dr, The Woodlands, TX 77380-2667 | 2009-07-01 |
| Find all providers in THE WOODLANDS | ||||
| City | THE WOODLANDS |
| Zip Code | 77381 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.