DR. LOUISE NATHALIE DE BOER (NPI# 1902009939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902009939 |
| Entity Type | Individual |
| Full Name | DR. LOUISE NATHALIE DE BOER |
| Credential | MD |
| Practice Address |
4101 E 42nd St Ste J-14 Odessa TX 79762-7239 |
| Mailing Address |
2741 Bainbridge Dr. Odessa TX 79762-5111 |
| Practice Telephone | 4323626100 |
| Practice Fax Number | 4323626111 |
| Mailing Telephone | 4323390254 |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | G4963 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
4101 E 42ND ST STE J-14 |
| City | ODESSA |
| State | TX |
| Zip Code | 79762-7239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982256798 | Winwood Dental and Orthodontics Pllc | Dentist | 3913 E 42nd Street, Odessa, TX 79762 | 2019-07-11 |
| 1265995716 | Ryan Daniels | Specialist/Technologist | 4901 E University, Gym 111, Odessa, TX 79762 | 2019-04-11 |
| 1215429592 | Michael Wayne Samp | Respiratory Therapist, Registered | 2807 Windsor Dr, Odessa, TX 79762 | 2018-06-03 |
| 1972003663 | Kristi Young | Registered Nurse | 3800 E. 42nd St., Suite 203 Attn: Pediatric Dept, Odessa, TX 79762 | 2018-02-19 |
| 1427508902 | Whitney Diakur | Optometrist | 5011 E. 42nd St, Odessa, TX 79762 | 2016-10-10 |
| 1295184927 | Farqad Kamal Abuoudeh | Dentist | 6109 Tx-191 Frontage, Odessa, TX 79762 | 2016-06-03 |
| 1457714180 | Daniel & Max, LLC | Optometrist | 5011 E. 42nd Street, Odessa, TX 79762 | 2016-03-31 |
| 1407225774 | Neri Campos-gardea | Massage Therapist | 3952 E 42d, Odessa, TX 79762 | 2015-09-17 |
| 1508255886 | Permian Er IIi | Clinic/Center | 6131 East Highway 191, Odessa, TX 79762 | 2015-01-09 |
| 1548675861 | Tina Desai | Dentist | 6109 Texas 191, Odessa, TX 79762 | 2014-06-25 |
| Find all providers in zip 79762 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487262267 | Vedesh Kumar Babu | Internal Medicine | 701 W 5th St Ste 3106, Odessa, TX 79763-4206 | 2020-07-17 |
| 1396391058 | William S. Wood | Internal Medicine | 14051 Pointe Anne Dr, Odessa, FL 33556-4301 | 2019-08-16 |
| 1407416787 | Saima Mahmood | Internal Medicine | 701 W 5th St Ste No1229, Odessa, TX 79763-4206 | 2019-06-18 |
| 1548657661 | Gabriela Mroueh | Internal Medicine | 8050 E Highway 191 Ste 213, Odessa, TX 79765-8615 | 2015-04-16 |
| 1568600104 | Rudy Mayoz | Internal Medicine | 16206 Hoylake Dr, Odessa, FL 33556-2875 | 2009-02-03 |
| 1366625683 | Sreedevi Godey | Internal Medicine | 840 W Clements, Odessa, TX 79761 | 2007-12-10 |
| 1568656940 | Andrew L Rutherford | Internal Medicine | 16404 Swan View Cir, Odessa, FL 33556-4938 | 2007-08-29 |
| 1386782266 | Joel L Adams | Internal Medicine | 500 N Washington Ave Ste 100, Odessa, TX 79761-4441 | 2007-02-02 |
| 1740369354 | Kendall H. Wong | Internal Medicine | 318 N Alleghaney, 300, Odessa, TX 79761 | 2006-11-03 |
| 1881784643 | Jose Bato Benigno Jr. | Internal Medicine | 115 W 42nd St, Odessa, TX 79764-4001 | 2006-10-13 |
| Find all providers in ODESSA | ||||
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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.