Thibodeaux Enterprises of Texas

NPI #1396455036 in Orange, Texas

Provider Information

NPI Number: 1396455036
Entity Type: Organization
Organization Name: Thibodeaux Enterprises of Texas
Primary Specialty: Clinic/Center
Enumeration Date: Dec 5, 2022
Last Updated: Dec 28, 2022

Practice Location

Address: 610 STRICKLAND DR STE 130
City: Orange
State: Texas
ZIP Code: 77630-4788
Phone: (409) 330-4885

Authorized Official

Name: DERRICK THIBODEAUX, NP
Title: OWNER
Phone: (409) 330-4885

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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