Individual provider · Type 1 NPI

Emily Renee Thibodaux, P.A.-C

Surgical Physician Assistant · Lafayette, LA

NPI number 1245666254 Active

Practice location

1103 Kaliste Saloom Rd, Suite 206
Lafayette, LA 70508-5783

Call (337) 267-1319 Map

Fax (337) 267-1379

Mailing address

1018 Highway 304
Thibodaux, LA 70301-7331

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X200652

Surgical Physician Assistant: Definition to come...

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About NPI 1245666254

Emily Renee Thibodaux, P.A.-C's National Provider Identifier is 1245666254, issued on Sep 23, 2013. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Lafayette, LA. The record was last updated on Sep 23, 2013.