Individual provider · Type 1 NPI

Nichole R. Thibodeaux, PA-C

Medical Physician Assistant · Houston, TX

NPI number 1083010052 Active

Practice location

1900 North Loop W Ste 580
Houston, TX 77018-8163

Call (713) 714-5376 Map

Other practice locations

  • 8565 Poplar Way, Highlands Ranch, CO 80130-3602 · (720) 348-2800
  • 11960 Lioness Way Ste 210, Parker, CO 80134-5644 · (303) 695-6106

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XPA.0003820 (CO)
Medical Physician Assistant Primary 363AM0700XPA13619 (TX)

Medical Physician Assistant: Definition to come...

6 other providers at this address

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About NPI 1083010052

Nichole R. Thibodeaux, PA-C's National Provider Identifier is 1083010052, issued on Nov 18, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Houston, TX. The record was last updated on Sep 9, 2020.