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1205974045
CHANDLER N THIBODAUX
FORT WORTH, TX
NPI
1205974045
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Professional Name
CHANDLER N THIBODAUX
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX 01790)
Enumeration Date
2007-02-02
Last Update Date
2014-06-11
Business Address
-- CHANDLER N THIBODAUX P.A
1307 8TH AVE STE 505
FORT WORTH, TX 76104-4143
Phone number: 817-927-2332
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Mailing Address
-- CHANDLER N THIBODAUX P.A
413 EAGLE DR
BEDFORD, TX 76021-3219
Phone number:
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