| John S Thibodeaux Md | |
|
402 E Edward St Erath LA 70533-4114 | |
| (337) 937-5803 | |
| (337) 937-5806 |
| Full Name | John S Thibodeaux Md |
|---|---|
| Speciality | Family Medicine |
| Location | 402 E Edward St, Erath, Louisiana |
| Authorized Official Name and Position | Kim Hebert (CFO) |
| Authorized Official Contact | 3374702593 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John S Thibodeaux Md 4801 Ambassador Caffery Pkwy Lafayette LA 70508-6917 Ph: (337) 470-2593 | John S Thibodeaux Md 402 E Edward St Erath LA 70533-4114 Ph: (337) 937-5803 |
| NPI Number | 1093076275 |
|---|---|
| Provider Enumeration Date | 06/04/2012 |
| Last Update Date | 10/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093076275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 13009 (Louisiana) | Primary |
Pediatric Group Of Acadiana & Family Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 550 West Veterans Memorial Drive, Erath, LA 70533 Phone: 337-918-6341 Fax: 337-918-6346 | |
Erath/delcambre Commuity Care Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 220 North Rd, Erath, LA 70533 Phone: 337-937-5944 Fax: 337-898-6506 | |
Erath Family Doctor Clinc, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 402 E Edwards St, Erath, LA 70533 Phone: 337-937-5803 Fax: 337-937-5806 |