| Susan Louella Boone, CNM | |
|
191 E Price Rd, Brownsville, TX 78521-3527 | |
| (956) 548-7400 | |
| Not Available |
| Full Name | Susan Louella Boone |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 |