NPI | 1396175857 |
---|---|
Doing Business As | THIBODAUX REGIONAL PAIN CLINIC |
Doing Business As | THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION-PAIN MANAGEMENT |
Entity Type | Organization |
Authorized Contact | KIM LEGENDRE BOUDREAUX Contract Manager 985-493-4907 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
Enumeration Date | 2013-11-20 |
Last Update Date | 2023-09-06 |