Individual provider · Type 1 NPI

Tayla Marissa Thibodeaux

Physician Assistant · Houston, TX

NPI number 1013780428 Active

Practice location

6621 Fannin St
Houston, TX 77030-2399

Mailing address

3595 Prescott Dr
Beaumont, TX 77706-6351

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA17525 (TX)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1013780428

Tayla Marissa Thibodeaux's National Provider Identifier is 1013780428, issued on Nov 7, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Houston, TX. The record was last updated on Feb 13, 2024.