NPI | 1114339181 |
---|---|
Doing Business As | THIBODAUX REGIONAL NEUROLOGY CLINIC |
Doing Business As | THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION - NEUROLOGY |
Entity Type | Organization |
Authorized Contact | KIM LEGENDRE BOUDREAUX Contract Manager 985-493-4907 |
Organization Subpart ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
Enumeration Date | 2014-05-27 |
Last Update Date | 2023-09-06 |