Individual
THOMAS CLANCY HIDALGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
222 VETERANS BLVD, DENHAM SPRINGS, LA 70726-4724
(225) 791-2020
Mailing address
38084 SPRINGWOOD AVE, PRAIRIEVILLE, LA 70769-4287
(225) 933-0621
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
LA
Other
Enumeration date
06/15/2026
Last updated
06/15/2026
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