| NPI | 1154097996 |
|---|---|
| Doing Business As | THIBODAUX REGIONAL URGENT CARE - HOUMA |
| Entity Type | Organization |
| Authorized Contact | KIM L BOUDREAUX Contract Manager 985-493-4907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2021-08-20 |
| Last Update Date | 2023-09-05 |