MEREDITH WADE THIBODEAUX

SHREVEPORT, LA
NPI1811322605
Former NameMEREDITH ANN WADE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: LA  200668)
Enumeration Date2013-09-11
Last Update Date2015-12-10
Business Address
Mrs. MEREDITH WADE THIBODEAUX P.A.-C
1541 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-675-4394
Mailing Address
Mrs. MEREDITH WADE THIBODEAUX P.A.-C
479 HOLOMON LOOP
DUBBERLY, LA 71024-2747
Phone number: 318-564-8781
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