Nathalie Boulos, MD | |
301 Londonderry Dr, Waco, TX 76712-7915 | |
(254) 751-4880 | |
(254) 751-4885 |
Full Name | Nathalie Boulos |
---|---|
Gender | Female |
Speciality | Psychiatry |
Experience | 10 Years |
Location | 301 Londonderry Dr, Waco, Texas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548714397 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 2019024539 (Missouri) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | S9270 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Health Alliance | 6305731068 | 111 |
Entity Name | Providence Health Alliance |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932210838 PECOS PAC ID: 6305731068 Enrollment ID: O20040220000307 |
Mailing Address | Practice Location Address |
---|---|
Nathalie Boulos, MD 301 Londonderry Dr, Waco, TX 76712-7915 Ph: (254) 751-4880 | Nathalie Boulos, MD 301 Londonderry Dr, Waco, TX 76712-7915 Ph: (254) 751-4880 |
Dr. Jean Nerva Dortilus, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3500 Hillcrest Dr Ste 7, Waco, TX 76708 Phone: 254-424-9523 | |
Stephen G Howlett, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 405 Londonderry Dr, Suite 301b, Waco, TX 76712 Phone: 254-756-6875 Fax: 254-756-1334 | |
Dr. Helen Ann Short, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3501 N 19th St, Waco, TX 76708 Phone: 254-745-5105 | |
Lance G Oberg, M. D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 7300 Bosque Blvd., Waco, TX 76710 Phone: 254-202-2600 Fax: 254-202-2650 | |
Dahlia Garces, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4800 Memorial Dr, Waco, TX 76711 Phone: 254-297-3240 | |
Geoffrey May, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4800 Memorial Drive (151c), Waco, TX 76711 Phone: 231-679-0776 | |
Lisa Lynnette Falls, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1600 Providence Dr, Waco, TX 76707 Phone: 254-313-4200 Fax: 254-313-4531 |