Individual
LAURA PATRICIA THIBODAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
755 N 11TH ST STE P2200, BEAUMONT, TX 77702-1513
(409) 892-1192
(409) 899-4956
Mailing address
755 N 11TH ST STE P2200, BEAUMONT, TX 77702-1513
(409) 892-1192
(409) 899-4956
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1048025
TX
363LF0000X
Family Nurse Practitioner
1048025
TX
Other
Enumeration date
07/21/2021
Last updated
01/04/2024
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