Trpp-aco Llc | |
602 N. Acadia Road Thibodaux LA 70301 | |
(985) 493-4907 | |
(985) 449-2585 |
Full Name | Trpp-aco Llc |
---|---|
Speciality | Family Medicine |
Location | 602 N. Acadia Road, Thibodaux, Louisiana |
Authorized Official Name and Position | Kim Legendre Boudreaux (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 9854492585 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Trpp-aco Llc 602 N. Acadia Road Thibodaux LA 70301 Ph: (985) 493-4907 | Trpp-aco Llc 602 N. Acadia Road Thibodaux LA 70301 Ph: (985) 493-4907 |
NPI Number | 1295309029 |
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Provider Enumeration Date | 05/17/2021 |
Last Update Date | 05/17/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295309029 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
208000000X | Pediatrics | (* (Not Available)) | Secondary |
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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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