person
Susan Marie Boutte, NP
Family Nurse Practitioner in Houston, Texas
NPI 1457582272

Susan Marie Boutte is a Family Nurse Practitioner based in Houston, TX and is specialized in Family. Susan Marie Boutte practices in Houston, TX and has the professional credentials of NP. The NPI Number for Susan Marie Boutte is 1457582272 and holds a License No. 694782 (Texas).

The current practice location address for Susan Marie Boutte is 1400 Holcombe Blvd, Houston, TX and can be reached out via phone at 713-792-1942 and via fax at 713-794-4950.

Location: 1400 Holcombe Blvd, Houston, TX, 77030-4008
person
Provider Profile Details
NPI Number
1457582272
Provider Name
Susan Marie Boutte
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1400 Holcombe Blvd, Houston, TX, 77030-4008
Phone Number
713-792-1942
Fax Number
713-794-4950
Provider Enumeration Date
07/28/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00J21A 01 TX GROUP MEDICARE
institution
Provider Business Practice Location Address Details
Address
1400 Holcombe Blvd
City
State
Zip
77030-4008
Phone Number
713-792-1942
Fax Number
713-794-4950
person
Provider Business Mailing Address Details
Address
1400 Holcombe Blvd
City
State
Zip
77030-4008
Phone Number
713-792-1942
Fax Number
713-794-4950
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
694782 (Texas)
Definition
Definition to come...
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