SUSAN L. BOULLIOUN, M.D., P.A. (NPI# 1588801609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588801609 |
| Entity Type | Organization |
| Organization Name | SUSAN L. BOULLIOUN, M.D., P.A. |
| Practice Address |
113 E. Cedar St. Seguin TX 78155-3709 |
| Mailing Address |
113 E Cedar St Seguin TX 78155-3709 |
| Practice Telephone | 8303033500 |
| Practice Fax Number | 8303039399 |
| Mailing Telephone | 8303033500 |
| Mailing Fax Number | 8303039399 |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2010-01-07 |
| Authorized Official Name | DR. SUSAN LORTON BOULLIOUN (PRESIDENT) |
| Authorized Official Telephone | 8303033500 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | K2312 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 121420702 | 05 | |
| TX | 121420704 | 05 |
| Street Address |
113 E. CEDAR ST. |
| City | SEGUIN |
| State | TX |
| Zip Code | 78155-3709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417506098 | Brian Christianson | Specialist/Technologist | 1000 W. Court St, Athletic Training Clinic, Seguin, TX 78155 | 2019-09-06 |
| 1164903035 | Danie Marie Clifton | Licensed Vocational Nurse | 1265 Rawhide Rd, Seguin, TX 78155 | 2018-08-28 |
| 1871010959 | Lora Marie Varela | Occupational Therapy Assistant | 562 South Highway 123 Bypass, 224, Seguin, TX 78155 | 2017-08-29 |
| 1295251924 | Anas Hakimeh | Dentist | 901 N Hwy 123 Bypass, Seguin, TX 78155 | 2017-08-15 |
| 1225560774 | Amanda Shoemaker | Student in an Organized Health Care Education/Training Program | 1000 W. Court St., Seguin, TX 78155 | 2017-04-03 |
| 1952784670 | Evelyne Merab Matunda | Nurse Practitioner | 1350 Ashby St, Seguin, TX 78155 | 2015-06-30 |
| 1558798520 | Sound Asleep Dme | Durable Medical Equipment & Medical Supplies | 519 N. King St, Ste. 104, Seguin, TX 78155 | 2013-10-04 |
| 1154673101 | Lara A Perry Dds Pa | Dentist | 317 S Texas 46, Seguin, TX 78155 | 2012-10-15 |
| 1013222488 | Remarkable Healthcare of Seguin, Lp | Skilled Nursing Facility | 1339 Eastwood Drive, Seguin, TX 78155 | 2010-08-10 |
| 1750695342 | Ritchie Limb & Brace, LLC | Prosthetic/Orthotic Supplier | 1069 E. Gonzales, Seguin, TX 78155 | 2010-08-06 |
| Find all providers in zip 78155 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255698460 | Sarah E Lester | Family Medicine | 3394 Auxiliary Airport Rd, Seguin, TX 78155-2272 | 2012-04-12 |
| 1932425089 | Linda Jane Sullivan | Family Medicine | 1350 E Walnut St, Seguin, TX 78155-5126 | 2010-04-14 |
| 1245556794 | Arlynn H Hartfiel Md Pa | Family Medicine | 519 N King St Ste 103, Seguin, TX 78155-4859 | 2010-04-08 |
| 1134309404 | James C Lee Md | Family Medicine | 519 N King St Ste 102, Seguin, TX 78155-4859 | 2007-11-05 |
| 1710195458 | Antonio A. Flores M.d. P.a. | Family Medicine | 214 N Camp St, Seguin, TX 78155-5631 | 2007-05-18 |
| 1326112715 | Sule Pakize Bilir | Family Medicine | 1201 W Court St, Seguin, TX 78155-5943 | 2006-11-20 |
| 1619047156 | Melanie S Carreon | Family Medicine | 1199 E College St, Seguin, TX 78155 | 2006-11-09 |
| 1629156765 | Thomas Hays Raetzsch | Family Medicine | 1025 N Austin St, Seguin, TX 78155-4517 | 2006-11-02 |
| 1174609135 | Phillip Clay Rinn | Family Medicine | 519 N King Street, Ste 107, Seguin, TX 78155 | 2006-10-31 |
| 1528148889 | Susan L Boullioun | Family Medicine | 113 E Cedar St, Seguin, TX 78155-3709 | 2006-10-17 |
| Find all providers in SEGUIN | ||||
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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.