Provider Demographics
NPI:1689041006
Name:PIEPRZICA-BOUDREAUX, ELIZABETH ANN (DC)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:ANN
Last Name:PIEPRZICA-BOUDREAUX
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:BETSY
Other - Middle Name:
Other - Last Name:BOUDREAUX
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:114 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77901-6501
Mailing Address - Country:US
Mailing Address - Phone:361-570-5700
Mailing Address - Fax:855-255-9006
Practice Address - Street 1:114 N MAIN ST
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901
Practice Address - Country:US
Practice Address - Phone:361-570-5700
Practice Address - Fax:855-255-9006
Is Sole Proprietor?:No
Enumeration Date:2015-09-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12998111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor