| NPI | 1396570511 |
|---|---|
| Doing Business As | THIBODAUX REGIONAL FAMILY MEDICINE CLINIC - THIBODAUX |
| Entity Type | Organization |
| Authorized Contact | KIM LEGENDRE BOUDREAUX Director Of Contracting 985-493-4907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2024-09-06 |
| Last Update Date | 2025-06-02 |