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Organization

THIBODEAUX ENTERPRISES OF TEXAS

Active
Other names
Thibodeaux Medical Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
DERRICK THIBODEAUX NP (OWNER)
(409) 330-4885
Entity
Organization

Contact information

Practice address
610 STRICKLAND DR STE 130, ORANGE, TX 77630-4788
(409) 330-4885
(409) 250-3020
Mailing address
1303 HORRIDGE ST, VINTON, LA 70668-4531
(337) 324-8060

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
12/05/2022
Last updated
12/28/2022
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