| NPI | 1851532964 |
|---|---|
| Doing Business As | THIBODAUX REGIONAL HEART & VASCULAR CLINIC |
| Entity Type | Organization |
| Authorized Contact | KIM LEGENDRE BOUDREAUX Contract Manager 985-493-4907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2023-09-05 |