Dr STACI SIMON BOUDREAUX PA is a female medical professional, specializing in Physician Assistant. She graduated in 2001.
IMPERIAL HEALTH LLP
501 DOCTOR MICHAEL DEBAKEY DR
LAKE CHARLES
LA
706015724
Tel: 3374338400
| Npi | 1487649091 |
| Pac Id | 7911966353 |
| Professional Enrollment Id | I20091117000679 |
| Last Name | BOUDREAUX |
| First Name | STACI |
| Middle Name | SIMON |
| Suffix | |
| Gender | F |
| Credential | PA |
| Medical School Name | OTHER |
| Graduation Year | 2001 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | IMPERIAL HEALTH LLP |
| Group Practice Pac Id | 7719886779 |
| Number Of Group Practice Members | 94 |
| Line 1 Street Address | 501 DOCTOR MICHAEL DEBAKEY DR |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 706015724 |
| Phone Number | 3374338400 |
| Hospital Affiliation Ccn 1 | 190201 |
| Hospital Affiliation Lbn 1 | CHRISTUS LAKE AREA HOSPITAL |
| Hospital Affiliation Ccn 2 | 190027 |
| Hospital Affiliation Lbn 2 | CHRISTUS ST PATRICK HOSPITAL |
| Hospital Affiliation Ccn 3 | 190013 |
| Hospital Affiliation Lbn 3 | WEST CALCASIEU CAMERON HOSPITAL |
| Hospital Affiliation Ccn 4 | 190060 |
| Hospital Affiliation Lbn 4 | LAKE CHARLES MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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