MAXINE A THERIOT

POPLAR BLUFF, MO
NPI1194874628
Former NameMAXINE A DAWES
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine
(Licence: MO  2022047286)
Additional Taxonomies207Q00000X Family Medicine
(Licence: TX  J9578)
2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine
(Licence: TX  J9578)
Enumeration Date2007-01-10
Last Update Date2023-07-13
Business Address
MAXINE A THERIOT MD
3098 OAK GROVE RD
POPLAR BLUFF, MO 63901-8938
Phone number: 573-686-8199
Mailing Address
MAXINE A THERIOT MD
709 W RUSK ST STE B
ROCKWALL, TX 75087-3600
Phone number: 972-786-0140