| NPI | 1043834260 |
|---|---|
| Doing Business As | THIBODAUX REGIONAL UROLOGY CLINIC |
| Entity Type | Organization |
| Authorized Contact | KIM LEGENDRE BOUDREAUX Contract Management 985-493-4907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2023-09-06 |