Organization
THIELER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAX THIELER (OWNER)
(504) 554-1885
Entity
Organization
Contact information
Practice address
1697 OX BOW LN, COVINGTON, LA 70433-7269
(504) 554-1885
(985) 951-7424
Mailing address
1697 OX BOW LN, COVINGTON, LA 70433-7269
(504) 554-1885
(985) 951-7424
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
LA
Other
Enumeration date
08/16/2012
Last updated
10/05/2020
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