Individual
TREVOR PAUL BOUDREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
726 N ACADIA RD STE 1700, THIBODAUX, LA 70301-5051
(985) 493-4990
(985) 493-4991
Mailing address
PO BOX 5478, THIBODAUX, LA 70302-5478
(985) 493-4544
(985) 449-2513
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
313125
LA
Other
Enumeration date
03/20/2017
Last updated
08/16/2021
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