NPI | 1083921944 |
---|---|
Doing Business As | THIBODAUX REGIONAL RHEUMATOLOGY CLINIC |
Entity Type | Organization |
Authorized Contact | KIM LEGENDRE BOUDREAUX Director Of Contracting 985-493-4907 |
Organization Subpart ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology |
Enumeration Date | 2010-09-13 |
Last Update Date | 2023-09-06 |