| NPI | 1184963613 |
|---|---|
| Doing Business As | THIBODAUX REGIONAL WOMEN'S CLINIC |
| Entity Type | Organization |
| Authorized Contact | KIM LEGENDRE BOUDREAUX Contract Manager 985-493-4907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology Obstetrics |
| 207VG0400X Obstetrics & Gynecology Gynecology | |
| Enumeration Date | 2013-02-04 |
| Last Update Date | 2020-06-24 |