Susan Louella Boone, CNM | |
191 E Price Rd, Brownsville, TX 78521-3527 | |
(956) 548-7400 | |
Not Available |
Full Name | Susan Louella Boone |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 191 E Price Rd, Brownsville, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649273111 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | AP112062 (Texas) | Primary |
Entity Name | Brownsville Community Health Clinic Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740266444 PECOS PAC ID: 1658264304 Enrollment ID: O20060705000017 |
Entity Name | Lhp Texas Md Services, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841562667 PECOS PAC ID: 8527222108 Enrollment ID: O20120611000636 |
Entity Name | Dr Diagne Premier Ob Gyn Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487074050 PECOS PAC ID: 1456579507 Enrollment ID: O20140902001717 |
Mailing Address | Practice Location Address |
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Susan Louella Boone, CNM 191 E Price Rd, Brownsville, TX 78521-3527 Ph: (956) 548-7400 | Susan Louella Boone, CNM 191 E Price Rd, Brownsville, TX 78521-3527 Ph: (956) 548-7400 |
Mrs. Joanna Imperial, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 191 E Price Rd, Brownsville, TX 78521 Phone: 956-548-7400 Fax: 956-621-3689 |