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Organization

THIBODEAUX MEDICAL CLINIC, LLC

Active
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Organization

THIBODEAUX MEDICAL CLINIC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DERRICK THIBODEAUX NP (NURSE PRACTITIONER)
(337) 324-8060
Entity
Organization

Contact information

Practice address
1303 HORRIDGE ST, VINTON, LA 70668-4531
(337) 324-8060
(337) 324-8061
Mailing address
1303 HORRIDGE ST, VINTON, LA 70668-4531
(337) 324-8060
(337) 324-8061

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—

Other

Enumeration date
09/15/2019
Last updated
04/21/2026
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