RENELLA BOULLION


Address: 674 May Dr, Onalaska, TX 77360-5169
Phone: 7199662086

RENELLA BOULLION (NPI# 1003442906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003442906
Entity Type Individual
Full Name RENELLA BOULLION
Credential APRN, FNP-BC
Practice Address 674 May Dr
Onalaska
TX 77360-5169
Practice Telephone 7199662086
Mailing Telephone 7199662086
Enumeration Date 2020-03-23
Last Update Date 2020-03-23
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center AP145643 TX Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
TX PRIVATE INSURANCE AP145643 01
TX AP145643 05

Office Location

Street Address 674 MAY DR
City ONALASKA
State TX
Zip Code 77360-5169

Providers in the same zip code

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1346301678 Robert Wayne Wolfe II Chiropractor 13831 Us Hwy 190 West, Haynes Square, Onalaska, TX 77360 2006-12-12
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1235143496 Lewis A Landsman Optometrist 13831 Hwy 190, Onalaska, TX 77360-2483 2006-07-27
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1922612175 Amy Jones Licensed Vocational Nurse 239 Read Oak, Onalaska, TX 77360-5118 2020-09-04
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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1518193598 Gundersen Lutheran Express Care, Inc Clinic/Center 1260 Crossing Meadows Dr, Onalaska, WI 54650-8666 2009-06-04

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Competitor

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City ONALASKA
Zip Code 77360

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Dataset Information

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.

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