Individual
MR. BRENNAN JOSEPH THIBODEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
726 N ACADIA RD STE 1000, THIBODAUX, LA 70301-5051
(985) 625-2200
Mailing address
PO BOX 28, THIBODAUX, LA 70302-0028
(985) 492-1203
(985) 492-1203
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
334149
LA
Other
Enumeration date
11/09/2022
Last updated
04/24/2025
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