DR. GARY LAMON BOUDREAUX (NPI# 1154550135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154550135 |
| Entity Type | Individual |
| Full Name | DR. GARY LAMON BOUDREAUX |
| Credential | DDS |
| Practice Address |
8815 Dyer St Ste 255 El Paso TX 79904-2033 |
| Practice Telephone | 9157572688 |
| Practice Fax Number | 9157572689 |
| Mailing Telephone | 9157572688 |
| Mailing Fax Number | 9157572689 |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2009-07-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
10100 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508848078 | Gary L Boudreaux | Dentist | 8480 E Orchard Rd, Suite 4300, Greenwood Village, CO 80111-5014 | 2005-11-18 |
| Street Address |
8815 DYER ST STE 255 |
| City | EL PASO |
| State | TX |
| Zip Code | 79904-2033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700385762 | Matthew Jacob Lares | Physical Therapist | 4242 Hondo Pass Drive Suite 110, El Paso, TX 79904 | 2018-02-06 |
| 1598263170 | Jennifer Suzanne Banks | Registered Nurse | 7760 Alabama Street, El Paso, TX 79904 | 2018-01-29 |
| 1508306796 | Jacqueline Gazelle Romero | Specialist/Technologist | 4601 Hondo Pass Dr Ste A, El Paso, TX 79904 | 2017-03-07 |
| 1306215967 | Dsi El Paso North, LLC | Clinic/Center | 3359 Fred Wilson Avenue, El Paso, TX 79904 | 2015-09-24 |
| 1225380587 | El Paso Eyecare Pllc | Optometrist | 9009 Gateway Blvd. South, El Paso, TX 79904 | 2012-10-11 |
| 1154617819 | Edward J Valdez | Durable Medical Equipment & Medical Supplies | 8888 Dyer St Ste 102, El Paso, TX 79904 | 2011-06-21 |
| 1548469521 | Wainwright Family Resource Center | Pediatrics | 4417 Tetons, El Paso, TX 79904 | 2007-07-11 |
| 1730256355 | Luis Raul Munoz | Pediatrics | 2900 N. Kansas St, El Paso, TX 79904 | 2006-11-29 |
| 1912012139 | Travis M Hausler | Dentist | 4721 Sierra Madre, El Paso, TX 79904 | 2006-08-20 |
| 1962422097 | Alexandra Jordan | Nurse Practitioner | 4417 Tetons Drive, El Paso, TX 79904 | 2006-07-20 |
| Find all providers in zip 79904 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790383206 | Flores Sapien Dentistry Pllc | Dentist | 8889 Gateway Blvd W Ste 1100, El Paso, TX 79925-6542 | 2020-10-16 |
| 1033729199 | Christian Diego Lepure | Dentist | 7598 N Mesa St Ste A, El Paso, TX 79912-3518 | 2020-08-04 |
| 1609494111 | Pallavi Sharma | Dentist | 201 S Americas Ave Ste 206, El Paso, TX 79907-6915 | 2020-07-10 |
| 1003434820 | Francisco Andres Escobar | Dentist | 2200 N Yardbrough Dr, Suite N, El Paso, TX 79925 | 2020-07-08 |
| 1356969315 | Julia Kathleen Escobar | Dentist | 5001 N Mesa St Apt 1304, El Paso, TX 79912-5930 | 2020-07-07 |
| 1093330789 | Access Dental of El Paso Pllc | Dentist | 8825 N Loop Dr Ste 126, El Paso, TX 79907-4606 | 2020-06-09 |
| 1912550559 | John Andrew Loiselle | Dentist | 600 Sunland Park Dr Ste 600, El Paso, TX 79912-5115 | 2019-07-23 |
| 1164083309 | Erica Lepure | Dentist | 1280 Hawkins Blvd Ste 100, El Paso, TX 79925-4949 | 2019-06-27 |
| 1710542196 | Amanda Christine Griego | Dentist | 1050 Sunland Park Dr # B200, El Paso, TX 79922-1326 | 2019-05-01 |
| 1508328451 | North Mesa Family Dental, Pllc | Dentist | 6135 N Mesa St Ste C, El Paso, TX 79912-4515 | 2019-04-01 |
| Find all providers in EL PASO | ||||
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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.