| Doctor Name: | FRED BOUDREAUX |
| NPI Number: | 1669760575 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 80185 |
| Business Practice Address: | 26222 Rr 12 Dripping Springs, TX - 786204903 |
| Business Phone Number: | 5128580300 |
| Business Fax Number: | 5128582714 |
| Mailing Address: | 26222 Rr 12, DRIPPING SPRINGS |
| State: | TX |
| Postal Code: | 786204903 |
| Phone Number: | 5128580300 |
| Fax Number: | 5128582714 |
| NPI Enumeration Date: | 07/12/2011 |
| NPI Last Update Date: | 07/12/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 237600000X |
| License Number: | 80185 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Audiologist-Hearing Aid Fitter |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual |