DR. DIANE MARIE BOUDREAUX (NPI# 1568782068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568782068 |
| Entity Type | Individual |
| Full Name | DR. DIANE MARIE BOUDREAUX |
| Credential | PHD |
| Practice Address |
2646 S Loop W Suite 180d Houston TX 77054-2665 |
| Mailing Address |
3 Hermann Museum Circle Dr Apt 5108 Integrated Behavioral Health&wellness Consultants,pllc Houston TX 77004-7970 |
| Practice Telephone | 2819977001 |
| Practice Fax Number | 8888706542 |
| Mailing Telephone | 2819977001 |
| Mailing Fax Number | 8888706542 |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2015-06-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
35073 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 3259929 | 05 |
| Street Address |
2646 S LOOP W SUITE 180D |
| City | HOUSTON |
| State | TX |
| Zip Code | 77054-2665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790783819 | Newchannel Incorporated | Durable Medical Equipment & Medical Supplies | 2646 S Loop W, Suite 270 & 270a, Houston, TX 77054-2665 | 2005-07-12 |
| 1174166904 | Brenda Thomas | Nurse Practitioner | 2646 S Loop W, Houston, TX 77054-2665 | 2019-10-24 |
| 1912550112 | Alozie Bright Amayaka | Nurse Practitioner | 2646 S Loop W, Houston, TX 77054-2665 | 2019-07-17 |
| 1124477336 | Siblings Healthcare Solutions LLC | Home Health | 2646 S Loop W, Suite 355, Houston, TX 77054-2665 | 2016-06-08 |
| 1013366335 | Tmc Pain Surgical Center | Clinic/Center | 2646 S Loop W, Suite 140, Houston, TX 77054-2665 | 2016-06-07 |
| 1982079307 | Pediatric Executives | Pediatrics | 2646 S Loop W, Suite 400, Houston, TX 77054-2665 | 2015-12-10 |
| 1053785097 | Ken Pratt | Pediatrics | 2646 S Loop W, Suite 400, Houston, TX 77054-2665 | 2015-11-13 |
| 1740678770 | Demetris A. Green, Sr. Md Pa | Family Medicine | 2646 S Loop W, Suite 220, Houston, TX 77054-2665 | 2014-12-29 |
| 1710384920 | Prestige Transportation Services | Non-emergency Medical Transport (VAN) | 2646 S Loop W, 505g, Houston, TX 77054-2665 | 2014-12-03 |
| 1356746200 | Sunset Labs, LLC | Clinical Medical Laboratory | 2646 S Loop W, Suite 665, Houston, TX 77054-2665 | 2014-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467006924 | Sphinx Pharmacy Group Webster Inc | Pharmacy | 2656 S Loop W Suite 275, Houston, TX 77054 | 2019-08-01 |
| 1164076618 | Pearland Unicare Pharmacy LLC | Pharmacy | 7400 Fannin Street Suite 120, Houson, TX 77054 | 2019-08-01 |
| 1144873092 | Megan Hoenig | Genetic Counselor, MS | 2525-a Holly Hall St., Suite 3c, Houston, TX 77054 | 2019-07-19 |
| 1043781701 | Lisa Vercellino Salazar | Nurse Practitioner | The Woman's Hospital of Texas, 7600 Fannin, Houston, TX 77054 | 2018-12-06 |
| 1619447257 | Karee Harris | Specialist/Technologist, Other | 7400 Fannin St Suite 850 Tx, Houston, TX 77054 | 2018-11-27 |
| 1245715374 | Van Hoai Thi Hoang | Pharmacist | 2525a Holly Hall, Houston, TX 77054 | 2018-09-25 |
| 1093294639 | Yolanda Williams-vasquez | Licensed Vocational Nurse | 3131 W Bellfort Ave, Houston, TX 77054 | 2018-08-13 |
| 1104304542 | Reji Mammen | Dentist | 2120 El Paseo St., Apt 2607, Houston, TX 77054 | 2018-07-28 |
| 1912484825 | Saeed Yazdianpour | Dentist | 7600 Cambridge St, Houston, TX 77054 | 2018-07-24 |
| 1811480742 | Dominik Andrzej Rudecki | Student in an Organized Health Care Education/Training Program | 7500 Cambridge St, Suite 6510, Houston, TX 77054 | 2018-06-14 |
| Find all providers in zip 77054 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821627969 | Jannis Faye Moody | Psychologist | 11250 West Rd Ste E, Houston, TX 77065-4439 | 2020-04-01 |
| 1609404771 | La Shaun Arzu Pllc | Psychologist | 8530 S Braeswood Blvd, Houston, TX 77071-1108 | 2020-04-01 |
| 1518590025 | Carla Sharp | Psychologist | Health 2 Building 4849 Calhoun Rd Suite 1001a, Houston, TX 77204-0001 | 2020-02-13 |
| 1295399707 | Mary Cassondra Reissinger | Psychologist | 1502 Taub Loop Ste 4.229, Houston, TX 77030-1608 | 2019-04-30 |
| 1134696826 | Adriane De Freitas Barroso | Psychologist | 7670 Woodway Dr Ste 360, Houston, TX 77063 | 2018-10-31 |
| 1922582741 | Anthony Ecker | Psychologist | 2002 Holcombe Blvd # Nc152, Houston, TX 77030-4211 | 2018-09-18 |
| 1295217503 | New Way Psychological Services, Pllc | Psychologist | 2100 West Loop South Suite 800, Houston, TX 77027 | 2018-09-04 |
| 1750872537 | Rose Haney | Psychologist | 13700 Veterans Memorial Dr # 245, Houston, TX 77014-1026 | 2018-05-28 |
| 1619476017 | Nicole Entrekin | Psychologist | 10411 South Dr, Houston, TX 77099-2876 | 2018-02-12 |
| 1669908398 | Inspirar Counseling Services, Pllc | Psychologist | 4500 Montrose Blvd Ste F, Houston, TX 77006-5842 | 2017-05-01 |
| Find all providers in HOUSTON | ||||
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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.