Boutte Family Practice, PLLC
NPI 1770347031ActiveOrganization· Family Medicine· Winnie, TX
Family Medicine in Winnie, Texas, registered in NPPES in February 2024. The authorized official on file is Lisa Simon, Office Mgr. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1770347031 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 7, 2024 |
| Last updated in NPPES | Feb 8, 2024 |
| Certified by provider | Feb 8, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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