Matthew B. Boudreaux, M.D., L.L.C.

LBN: Matthew B. Boudreaux, M.D., L.L.C.
Matthew B. Boudreaux, M.D., L.L.C. is an health care organization with primary practice located at 1103 W University Ave , Lafayette LA 70506-3462. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as the primary health care specialty. Matthew B. Boudreaux, M.D., L.L.C. can be contacted via phone (337) 233-0219, or through Boudreaux, Matthew B via phone (337) 233-0219.

Contact Information

Primary practice address
1103 W University Ave Lafayette LA 70506-3462
Phone: (337) 233-0219
Fax: (337) 233-2418
Website:
Map and Directions
Authorized official contact:
Name: Boudreaux, Matthew B Doctor of Medicine (MD)
Phone: (337) 233-0219

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X

Profile Details

NPI number 1205124955
LBN Legal business name Matthew B. Boudreaux, M.D., L.L.C.
DBA Doing business as
Authorized official Boudreaux, Matthew B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 15th, 2011
Last updated Nov 17th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205124955 NPPES
Louisiana MEDICAID 1214868
Louisiana Other P00973633

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