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Tyler Gerard Boudreaux
Internal Medicine Physician in Baton Rouge, Louisiana
NPI 1235633090

Tyler Gerard Boudreaux is a Internal Medicine Physician based in Baton Rouge, LA. Tyler Gerard Boudreaux practices in Baton Rouge, LA. The NPI Number for Tyler Gerard Boudreaux is 1235633090 and holds a License No. (Louisiana).

The current practice location address for Tyler Gerard Boudreaux is 7777 Hennessy Blvd Ste 7000, Baton Rouge, LA and can be reached out via phone at 225-765-8829 and via fax at 225-765-8283.

Location: 7777 Hennessy Blvd Ste 7000, Baton Rouge, LA, 70810-5038
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235633090
Provider Name
Tyler Gerard Boudreaux
Credential
Provider Entity Type
Individual
Gender
Male
Address
7777 Hennessy Blvd Ste 7000, Baton Rouge, LA, 70810-5038
Phone Number
225-765-8829
Fax Number
225-765-8283
Provider Enumeration Date
03/19/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
322678 01 LA STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
7777 Hennessy Blvd Ste 7000
City
Baton Rouge
State
Louisiana
Zip
70808-0307
Phone Number
225-765-8829
Fax Number
225-765-8283
person
Provider Business Mailing Address Details
Address
7777 Hennessy Blvd Ste 7000
City
Baton Rouge
State
Louisiana
Zip
70808-0307
Phone Number
225-765-8829
Fax Number
225-765-8283
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
322678 (Louisiana)
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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