Tayla Marissa Thibodeaux

NPI #1013780428 in Houston, Texas

Provider Information

NPI Number
1013780428
Entity Type
Individual
Name
Tayla Marissa Thibodeaux
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Enumeration Date
Nov 7, 2023
Last Updated
Feb 13, 2024

Practice Location

Address
6621 FANNIN ST
State
Texas
ZIP Code
77030-2399
Phone
(832) 824-1000

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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