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1013780428
TAYLA MARISSA THIBODEAUX
HOUSTON, TX
NPI
1013780428
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA17525)
Enumeration Date
2023-11-07
Last Update Date
2024-02-13
Business Address
TAYLA MARISSA THIBODEAUX
6621 FANNIN ST
HOUSTON, TX 77030-2399
Phone number: 832-824-1000
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Mailing Address
TAYLA MARISSA THIBODEAUX
3595 PRESCOTT DR
BEAUMONT, TX 77706-6351
Phone number:
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