NPI | 1801136023 |
---|---|
Doing Business As | THIBODAUX REGIONAL PULMONOLOGY & CRITICAL CARE CLINIC |
Entity Type | Organization |
Authorized Contact | KIM LEGENDRE BOUDREAUX Contract Manager 985-493-4907 |
Organization Subpart ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine |
Enumeration Date | 2013-02-25 |
Last Update Date | 2023-09-06 |