Organization
THIBODAUX ENDOSCOPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES J MONIER JR. MD (PRESIDENT)
(985) 446-1958
Entity
Organization
Contact information
Practice address
764 N ACADIA RD STE B, THIBODAUX, LA 70301-5009
(985) 446-1958
(985) 446-0121
Mailing address
764 N ACADIA RD STE B, THIBODAUX, LA 70301-5009
(985) 446-1958
(985) 446-0121
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0112
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1167452
—
LA
Enumeration date
03/09/2006
Last updated
04/28/2025
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