| Thibodaux Regional Wellness Clinic | |
|
726 N. Acadia Road Education Suite Thibodaux LA 70301 | |
| (985) 493-4004 | |
| Not Available |
| Full Name | Thibodaux Regional Wellness Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 726 N. Acadia Road, Thibodaux, Louisiana |
| Authorized Official Name and Position | Kim Legendre Boudreaux (CONTRACT MANAGER) |
| Authorized Official Contact | 9854934907 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thibodaux Regional Wellness Clinic 602 N Acadia Rd Thibodaux LA 70301-4823 Ph: (985) 493-4907 | Thibodaux Regional Wellness Clinic 726 N. Acadia Road Education Suite Thibodaux LA 70301 Ph: (985) 493-4004 |
| NPI Number | 1316604762 |
|---|---|
| Provider Enumeration Date | 11/19/2021 |
| Last Update Date | 09/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316604762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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Thibodaux Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 931 N Canal Blvd, Thibodaux, LA 70301 Phone: 985-446-6381 Fax: 985-446-5992 | |
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