| NPI | 1497348379 |
|---|---|
| Doing Business As | THIBODAUX REGIONAL MULTI-SPECIALTY CLINIC-RACELAND |
| Entity Type | Organization |
| Authorized Contact | KIM LEGENDRE BOUDREAUX Contract Manager 985-493-4907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 207RH0000X Internal Medicine, Hematology | |
| 208000000X Pediatrics | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 208800000X Urology | |
| 207RH0003X Internal Medicine, Hematology & Oncology | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207T00000X Neurological Surgery | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2021-02-11 |
| Last Update Date | 2023-09-05 |