Individual
JULIE THIBEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
633 E FERNHURST DR STE 304, KATY, TX 77450-1586
(877) 631-0010
Mailing address
633 E FERNHURST DR, KATY, TX 77450-1588
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1139463
TX
Other
Enumeration date
11/20/2023
Last updated
05/11/2026
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