Nicholls State University
NPI #1861881435 in Thibodaux, Louisiana
Provider Information
- NPI Number
- 1861881435
- Entity Type
- Organization
- Organization Name
- Nicholls State University
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jan 20, 2015
- Last Updated
- Jan 20, 2015
Practice Location
Authorized Official
- Name
- MOUZON BASS III
- Title
- AGENT
- Phone
- 18005559073
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine - Sports Medicine — Sports Medicine |
| Family Medicine |
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