Individual
DR. JAMES PAUL THIBODAUX JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1055 PARKWAY DR STE A, NATCHITOCHES, LA 71457-6276
(318) 352-6464
(318) 352-2488
Mailing address
1055 PARKWAY DR STE A, NATCHITOCHES, LA 71457-6276
(318) 352-6464
(318) 352-2488
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD023896
LA
208000000X
Pediatrics Physician
Primary
023896
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487465
—
LA
Enumeration date
11/07/2005
Last updated
05/31/2011
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