# THIBODAUX URGENT CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316129513
- **Authorized official:** MR. KEITH LEBLANC (CEO)
- **Authorized official phone:** (504) 831-3112

## Contact information

- **Practice address:** 318 N CANAL BLVD, THIBODAUX, LA 70301-2996
- **Practice address phone:** (985) 446-5210
- **Practice address fax:** (985) 446-8327
- **Mailing address:** 3510 N CAUSEWAY BLVD, SUITE 110, METAIRIE, LA 70002-3531
- **Mailing address phone:** (504) 831-3112
- **Mailing address fax:** (504) 831-3778

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/29/2007
- **Last updated:** 10/02/2014