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SYDNEY LANE BOULE M.D. NPI 1730470451

NPI Profile

NPI: 1730470451

Provider Name: SYDNEY LANE BOULE, M.D.

Classification: Family Medicine - 207Q00000X

Entity Type: Individual

PECOS Registration: Yes

Address:
919 HIDDEN RDG
FLOOR 6
IRVING, TX
ZIP 75038

Phone: (469) 282-2713

Sydney Lane Boule, M.D. is a family medicine in Irving, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. 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:

919 HIDDEN RDG
FLOOR 6
IRVING, TX
ZIP 75038-813
Phone: (469) 282-2713
Fax: (469) 282-2609

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 9/2/2016.

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 No
2 207Q00000X Family Medicine P4426 TEXAS 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: 11/12/2017