Susan L Boullioun (NPI# 1528148889, PAC ID# 0547318792) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1528148889 |
PAC ID by PECOS | 0547318792 |
Professional Enrollment ID | I20090428000480 |
Full Name | Susan L Boullioun |
Address |
113 E Cedar St Seguin TX 78155-3709 |
Gender | F |
Medical School | TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE |
Graduation Year | 1994 |
Primary Specialty | FAMILY MEDICINE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
450104 | GUADALUPE REGIONAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
113 E Cedar St, Seguin, TX 78155-3709 |
Street Address |
113 E CEDAR ST |
City | SEGUIN |
State | TX |
Zip | 78155-3709 |
Name | Specialty | Organization | Address |
---|---|---|---|
George Steven White | Orthopedic Surgery | 280 S King, Seguin, TX 78155 | |
Melchor D Villarreal | Clinical Social Worker | Autumn View Alliance, LLC | 131 Mckinley Rd, Seguin, TX 78155-0480 |
Mary L Trevino | Psychologist, Clinical | Autumn View Alliance, LLC | 131 Mckinley Rd, Seguin, TX 78155-0480 |
Dominic Anthony Scaramozi | Chiropractic | 1300 N King St, Pecan Country Chiropractic, Seguin, TX 78155-3820 | |
Pamela A Tackett | Chiropractic | 1367 E College St, Seguin, TX 78155-3962 | |
Charles J White | Podiatry | 1345 E College St, Seguin, TX 78155-3962 | |
John M Flanagan | Chiropractic | 757 N Hwy 123 Bypass, Seguin, TX 78155-3986 | |
Tom H Raetzsch | Family Medicine | 1025 N Austin St, Seguin, TX 78155-4517 | |
Teresa L Quebedeaux Farnham | Podiatry | 1345 E College St, Seguin, TX 78155-4562 | |
Nicole J Talbot | Family Medicine | 515 N King St, Suite 103, Seguin, TX 78155-4815 | |
Find all physicians in zip 78155 |
City | SEGUIN |
Zip Code | 78155 |
Specialty | FAMILY MEDICINE |
City + Specialty | SEGUIN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Susan L Boullioun.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.