Mr Richmond Sully Thibodeaux, CRNA | |
450 Medical Center Blvd Ste 520, Webster, TX 77598-4229 | |
(281) 218-9515 | |
Not Available |
Full Name | Mr Richmond Sully Thibodeaux |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 16 Years |
Location | 450 Medical Center Blvd Ste 520, Webster, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013154061 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 120799 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Endo Sedation Llc | 4789845363 | 291 |
Entity Name | Texans Anesthesia Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275733982 PECOS PAC ID: 8820171390 Enrollment ID: O20080207000456 |
Entity Name | Bahec Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497079701 PECOS PAC ID: 2668503368 Enrollment ID: O20100624000341 |
Entity Name | Endo Sedation Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588931174 PECOS PAC ID: 4789845363 Enrollment ID: O20120406000221 |
Mailing Address | Practice Location Address |
---|---|
Mr Richmond Sully Thibodeaux, CRNA 225 Maureen Dr, Youngsville, LA 70592-5817 Ph: (337) 857-2750 | Mr Richmond Sully Thibodeaux, CRNA 450 Medical Center Blvd Ste 520, Webster, TX 77598-4229 Ph: (281) 218-9515 |
David Conner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 333 N Texas Ave, Webster, TX 77598 Phone: 281-335-1700 Fax: 281-335-1708 | |
Ms. Dalisay Roces Meinecke, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 500 Medical Center Blvd, Webster, TX 77598 Phone: 281-338-3230 | |
Roberta Jane Wright, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 333 N Texas Ave, Webster, TX 77598 Phone: 281-335-1700 Fax: 281-335-1708 | |
Mr. Leroy Anthony Domino, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Blossom St, Webster, TX 77598 Phone: 832-632-6372 | |
Christie Delaune, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 Medical Center Blvd, Webster, TX 77598 Phone: 281-332-2511 | |
Diane Lynn Wegelt-wundrow, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 333 N Texas Ave, Webster, TX 77598 Phone: 281-335-1700 Fax: 281-335-1708 |