NPI | 1043836166 |
---|---|
Doing Business As | THIBODAUX REGIONAL FOOT & ANKLE CENTER |
Entity Type | Organization |
Authorized Contact | KIM LEGENDRE BOUDREAUX Contract Manager 985-493-4907 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
Additional Taxonomies | 261QP1100X Clinic/Center, Podiatric |
Enumeration Date | 2020-06-24 |
Last Update Date | 2023-09-06 |