| NPI | 1396455036 |
|---|---|
| Doing Business As | THIBODEAUX MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | DERRICK THIBODEAUX Owner 409-330-4885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-12-05 |
| Last Update Date | 2022-12-28 |