Organization
ERATH FAMILY DOCTOR CLINC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN S THIBODEAUX MD (PRESIDENT)
(337) 937-5803
Entity
Organization
Contact information
Practice address
402 E EDWARDS ST, ERATH, LA 70533-4114
(337) 937-5803
(337) 937-5806
Mailing address
402 E EDWARDS ST, ERATH, LA 70533-4114
(337) 937-5803
(337) 937-5806
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/10/2008
Last updated
11/06/2008
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