| NPI | 1306125133 |
|---|---|
| Doing Business As | THIBODAUX REGIONAL INTERNAL MEDICINE CLINIC |
| Entity Type | Organization |
| Authorized Contact | KIM LEGENDRE BOUDREAUX Contract Manager 985-493-4907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2024-05-09 |