Basic Information
| Provider Information | |||||||||
| NPI: | 1427314723 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LEBOEUF | ||||||||
| FirstName: | BRITNI | ||||||||
| MiddleName: | CENE | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5701 W SLAUGHTER LN BLDG C | ||||||||
| Address2: | |||||||||
| City: | AUSTIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 787496528 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5129014937 | ||||||||
| FaxNumber: | 5129013945 | ||||||||
| Practice Location | |||||||||
| Address1: | 5701 W SLAUGHTER LN BLDG C | ||||||||
| Address2: | |||||||||
| City: | AUSTIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 78749 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5129014031 | ||||||||
| FaxNumber: | 5123342589 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/11/2012 | ||||||||
| LastUpdateDate: | 08/16/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | R6035 | TX | Y | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.