Individual provider · Type 1 NPI

Brent Boudreaux, MD

Diagnostic Radiology Physician · Shreveport, LA

NPI number 1467423913 Active

Practice location

2600 Greenwood Rd
Shreveport, LA 71103-3908

Mailing address

PO Box 9600, Dept 09-033
Texarkana, TX 75505-9600

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X017805 (LA)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1467423913

Brent Boudreaux, MD's National Provider Identifier is 1467423913, issued on Jan 31, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Shreveport, LA. The record was last updated on Feb 3, 2014.