| NPI | 1134438906 |
|---|---|
| Doing Business As | THIBODAUX REGIONAL BRAIN AND SPINE CLINIC |
| Entity Type | Organization |
| Authorized Contact | KIM LEGENDRE BOUDREAUX Contract Manager 985-493-4907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2025-06-02 |