Individual provider · Type 1 NPI

Meredith Wade Thibodeaux, P.A.-C

Physician Assistant · Bossier City, LA

NPI number 1811322605 Active

Practice location

2400 Hospital Dr Ste 340
Bossier City, LA 71111-2387

Call (318) 212-7280 Map

Fax (318) 212-7278

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X200668 (LA)

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 1811322605

Meredith Wade Thibodeaux, P.A.-C's National Provider Identifier is 1811322605, issued on Sep 11, 2013. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Bossier City, LA. The record was last updated on Oct 23, 2026.