Individual
CLAUDIA IRENE THIBEAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3315 MARQUART ST STE 209, HOUSTON, TX 77027-6027
(713) 799-2200
(713) 799-2202
Mailing address
413 ORCHARD AVE, PORT NECHES, TX 77651-3187
(903) 744-4067
(713) 799-2202
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
203309
TX
Other
Enumeration date
09/11/2018
Last updated
09/11/2018
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