Organization · Type 2 NPI

Abundant Health Medical Clinic, LLC

Medical Specialty Clinic/Center · Thibodaux, LA

NPI number 1003288614 Active

Practice location

1001 Jackson St
Thibodaux, LA 70301-3227

Fax (985) 492-9114

Mailing address

PO Box 5011
Thibodaux, LA 70302-5011

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XNone listed

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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About NPI 1003288614

Abundant Health Medical Clinic, LLC's National Provider Identifier is 1003288614, issued on Oct 22, 2015. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Thibodaux, LA. The record was last updated on Oct 22, 2015.