MR. ALLAN BOUDREAUX (NPI# 1982909024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982909024 |
| Entity Type | Individual |
| Full Name | MR. ALLAN BOUDREAUX |
| Credential | MSN, RN, CCNS, CEN |
| Practice Address |
3851 Roger Brooke Dr. Mche-qd (creds), Brooke Army Medical Center Fort Sam Houston TX 78234-6200 |
| Mailing Address |
3851 Roger Brooke Dr., Mche-qd (creds) Brooke Army Medical Center Fort Sam Houston TX 78234-6200 |
| Practice Telephone | 2109163390 |
| Mailing Telephone | 2109163390 |
| Enumeration Date | 2011-01-21 |
| Last Update Date | 2011-01-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SE0003X |
Clinical Nurse Specialist Specialization: Emergency |
793185 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3851 ROGER BROOKE DR. MCHE-QD (CREDS), BROOKE ARMY MEDICAL CENTER |
| City | FORT SAM HOUSTON |
| State | TX |
| Zip Code | 78234-6200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053300178 | Kenya Short | Family Medicine | 3851 Roger Brooke Dr., Brooke Army Medical Center, Camp Bullis Usahc, Fort Sam Houston, TX 78234 | 2005-10-20 |
| 1194031583 | Bamc | Military Hospital | 3851 Roger Brooke Dr., Bamc-mcheqd (creds), Fort Sam Houston, TX 78218-6200 | 2010-08-24 |
| 1356582696 | Emily Marie Mcginty | Occupational Therapist | 3851 Roger Brooke Dr., Mche-qd (creds), Fort Sam Houston, TX 78234-6200 | 2009-03-17 |
| 1891895447 | Theresa Howell Williams | Psychiatry & Neurology | 3851 Roger Brooke Dr., Brooke Army Medical Center Department of Behavioral Med, Fort Sam Houston, TX 78234-6200 | 2006-09-24 |
| 1336124544 | Alice Inman | Psychologist | 3851 Roger Brooke Dr., Jbsa, Fort Sam Houston, TX 78234-6200 | 2005-12-09 |
| 1760472583 | Robert Edward Boyles | Military Health Care Provider | 3851 Roger Brooke Dr., Brooke Army Medical Center, Mche-qd/credentials, Fort Sam Houston, TX 78234-6200 | 2005-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255942884 | Thomas Ballas | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive Jbsa-fort Sam Houston, Department of Behavioral Medicine-mche-dbm, San Antonio, TX 78234 | 2020-08-17 |
| 1124657366 | Wendy Harris | Pharmacist | 3041 Garden Ave, Fort Sam Houston, TX 78234 | 2020-04-08 |
| 1215564729 | Travis Frantz | Student in an Organized Health Care Education/Training Program | 3551 Rodger Brooke Drive, Jbsa Fort Sam Houston, TX 78234 | 2020-03-25 |
| 1508492695 | Matthew Grossmann | Student in an Organized Health Care Education/Training Program | San Antonio Military Medical Center, Mche-zdm-m, Internal Medicine Residency, 3551 Roger Brooke Dr., Jbsa-fort Sam Houston, TX 78234 | 2020-03-20 |
| 1235793407 | Jessica Maria May Franklin | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive Jbsa Fort Sam Houston, San Antonio, TX 78234 | 2019-04-23 |
| 1730663477 | Glen Snyder | Military Health Care Provider | 3488 Garden Ave Anderson Hall, Fort Sam Houston, San Antonio, TX 78234 | 2018-09-19 |
| 1265919336 | Ashley Elizabeth Malawey | Military Health Care Provider | 3222 Cpl Johnson Road, San Antonio, TX 78234 | 2018-07-23 |
| 1053805515 | Rene Espinosa | Social Worker | San Antonio Medical Center, 3551 Roger Brooke Dr, Jbsa, TX 78234 | 2018-06-19 |
| 1235622333 | Melanie Edith Rivera | Military Health Care Provider | 3600 Roger Brooke Drive, San Antonio, TX 78234 | 2018-06-13 |
| 1063909158 | Benjamin Walker Appelo | General Practice | San Antonio Mil Med Center 3551 Roger Brooke Dr, Mche-zdm-m, San Antonio, TX 78234 | 2018-04-16 |
| Find all providers in zip 78234 | ||||
| Taxonomy Code | 364SE0003X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Emergency |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295780757 | Texas Em-1 Medical Services, Pa | Clinical Nurse Specialist | 3500 I-30, Mesquite, TX 75150 | 2006-05-23 |
| 1942255492 | Texas Em-1 Medical Services, Pa | Clinical Nurse Specialist | 100a E Alton Gloor Blvd, Brownsville, TX 78526-3375 | 2006-05-23 |
| 1477898088 | M Kathleen Canty | Clinical Nurse Specialist | 5282 Medical Dr, Suite 206, San Antonio, TX 78229-4849 | 2012-12-07 |
| 1255580015 | Nancy Coppernoll | Clinical Nurse Specialist | 2701 Hospital Dr, Victoria, TX 77901-5748 | 2008-09-16 |
| 1558314062 | Texas Em-1 Medical Services, Pa | Clinical Nurse Specialist | 1000 Pine St, Texarkana, TX 75501-5100 | 2006-05-18 |
| 1881646701 | Texas Em-i Medical Services, Pa | Clinical Nurse Specialist | 100 Medical Dr, Lake Jackson, TX 77566-5674 | 2006-05-17 |
| 1336103373 | Margaret A Clarke | Clinical Nurse Specialist | 8811 Village Dr, Attn: Fast Track, San Antonio, TX 78217-5414 | 2006-04-14 |
| City | FORT SAM HOUSTON |
| Zip Code | 78234 |
Please comment or provide details below to improve the information on MR. ALLAN BOUDREAUX.
| 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.