SYDNEY LANE BOULE


Address: 919 Hidden Rdg, Floor 6, Irving, TX 75038-3813
Phone: 4692822713

SYDNEY LANE BOULE (NPI# 1730470451) 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) 1730470451
Entity Type Individual
Full Name SYDNEY LANE BOULE
Other Name SYDNEY LANE VONK
Credential M.D.
Practice Address 919 Hidden Rdg
Floor 6
Irving
TX 75038-3813
Mailing Address 919 Hidden Rdg
Irving
TX 75038-3813
Practice Telephone 4692822713
Practice Fax Number 4692822609
Mailing Telephone 4692822713
Mailing Fax Number 4692822609
Enumeration Date 2011-04-28
Last Update Date 2016-09-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine P4426 TX Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Provider Identifier

State Issuer Identifier Type Code
TX 341874101 05

Office Location

Street Address 919 HIDDEN RDG
FLOOR 6
City IRVING
State TX
Zip Code 75038-3813

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457382947 C H Wilkinson Physician Network Internal Medicine 919 Hidden Rdg, 6th Floor, Irving, TX 75038-3813 2006-07-05
1063931178 Promptu Imaging Pllc Radiology 919 Hidden Rdg, Irving, TX 75038-3813 2017-09-11
1477893873 Jeri Grace Brocker Nurse Practitioner 919 Hidden Rdg, Irving, TX 75038-3813 2013-02-21
1699822635 John Alex Gillean IIi Internal Medicine 919 Hidden Rdg, Irving, TX 75038-3813 2007-01-04
1144387572 Christus Health Health Maintenance Organization 919 Hidden Rdg, Irving, TX 75038-3813 2007-01-03
1851454102 Christus Health Health Maintenance Organization 919 Hidden Rdg, Irving, TX 75038-3813 2006-12-18
1245338839 Jacqueline Denise Lucas-buck Nurse Practitioner 919 Hidden Rdg, Irving, TX 75038-3813 2006-09-20
1801808571 C H Wilkinson Physician Network Internal Medicine 919 Hidden Rdg, 6th Floor, Irving, TX 75038-3813 2006-08-12
1225046931 Myra M Gillean Family Medicine 919 Hidden Rdg, Suite 1008, Irving, TX 75038-3813 2006-08-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457959587 S&w Primary Home Care Home Health 3921 Timberidge Drive, Irving, TX 75038 2020-10-12
1295372928 Wecare Tlc Clinic/Center 777 Hidden Ridge, Irving, TX 75038 2019-12-02
1407369135 North Texas Psychiatry Associates Pllc Psychiatry & Neurology 4020 N. Macarthur Blvd, Suite 122 - 153, Irving, TX 75038 2017-11-16
1164970745 Young Men's Christian Association of Metropolitan Dallas Health Educator 1621 W Walnut Hill Ln, Irving, TX 75038 2016-09-13
1285086397 Edge-md Holding Pllc Family Medicine 1200 W. Walnut Hill Lane, Suite 3950, Irving, TX 75038 2016-07-13
1912318445 Alliance Neurodiagnostics, LLC Clinic/Center 4545 Fuller Dr Ste 200, Irving, TX 75038 2014-05-19
1790029841 Paul Dean Allen Counselor 5525 N. Macarthur Blvd, Suite 800, Mhn Government Services, Irving, TX 75038 2012-11-15
1437403227 Dashwood Pharmacy Pharmacy 1300 W. Walnut Hill Lane, Suite 163, Irving, TX 75038 2012-11-01
1265795538 Michael Fooshee Dentist 3007 Skyway Circle North, Suite 100, Irving, TX 75038 2012-06-20
1205107273 Sylviane Akenda Kasende Nurse Practitioner 2925 Skyway Circle N, Irving, TX 75038 2012-01-23
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376198507 Sanitas Medical Center of Texas Pa Family Medicine 3917 West Airport Freeway, Irving, TX 75062 2019-08-05
1144875626 Sanitas Medical Center of Texas Pa Family Medicine 6500 N Macarthur Blvd, Irving, TX 75039-2460 2019-08-01
1639656325 Open Arms Healthcare of Texas Inc. Family Medicine 1200 W Walnut Hill Ln Ste 3950, Irving, TX 75038-3459 2018-07-25
1386097558 Perfect Care Pllc Family Medicine 3200 N Macarthur Blvd Ste 103, Irving, TX 75062-4404 2016-07-22
1285086397 Edge-md Holding Pllc Family Medicine 1200 W. Walnut Hill Lane, Suite 3950, Irving, TX 75038 2016-07-13
1194171074 A1 Visiting Doctors Inc Family Medicine 4370 Annesley Ln, Irving, TX 75062-1735 2016-05-10
1700296209 Star Convenientcare, Pa Family Medicine 4301 N Macarthur Boulevard, #202, Irving, TX 75038-6497 2014-05-06
1104253962 Mendez Medical Consulting, Pllc Family Medicine 825 W Royal Ln, Irving, TX 75039-3601 2013-10-10
1841586179 Irst Health Family Medicine 7200 North State Highway 161, #300, Irving, TX 75039 2011-06-24
1598072563 Jaxel Lopez Sepulveda Family Medicine 245 E Grauwyler Rd Ste 122, Irving, TX 75061-2639 2010-09-10
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Competitor

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City IRVING
Zip Code 75038

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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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