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SYDNEY LANE BOULE M.D. NPI 1730470451

NPI Profile

NPI: 1730470451

Provider Name: SYDNEY LANE BOULE, M.D.

Classification: Student in an Organized Health Care Education/Training Program - 390200000X

Entity Type: Individual

PECOS Registration: Yes

Address:
2120 S WAYSIDE DR
SUITE B
HOUSTON, TX
ZIP 77023

Phone: (713) 803-1840

Sydney Lane Boule, M.D. is a student in an organized health care education/training program in Houston, TX. The provider is 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. Sydney Lane Boule, M.D. NPI is 1730470451. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2120 S WAYSIDE DR
SUITE B
HOUSTON, TX
ZIP 77023-900
Phone: (713) 803-1840
Fax: (713) 926-5852

The NPI 1730470451 is registered in the Medicare Provider, Enrollment, Chain and Ownership System PECOS.

The enumeration date for this NPI number is 4/28/2011 and was last updated on 8/11/2014.

Map - Location of Practice

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 390200000X Student in an Organized Health Care Education/Training Program Yes

What is NPI?
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 6/10/2015