Organization
THIBODEAUX MEDICAL CLINIC OF DEQUINCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DERRICK THIBODEAUX NP (OWNER)
(337) 265-1180
Entity
Organization
Contact information
Practice address
810 E FOURTH ST, DEQUINCY, LA 70633-3708
(337) 265-1180
(337) 265-1181
Mailing address
810 E FOURTH ST, DEQUINCY, LA 70633-3708
(337) 265-1180
(337) 265-1181
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
03/09/2026
Last updated
04/21/2026
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