| Organization Name: | FRANK G THIBAULT MD, PA |
| NPI Number: | 1023233012 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | FRANK G THIBAULT (OWNER) |
| Mailing Address: | 910 N East St Benton |
| State: | AR US |
| Postal Code: | 720153327 |
| Phone Number: | 5013157774 |
| Fax Number: | 5013157772 |
| NPI Enumeration Date: | 04/16/2007 |
| NPI Last Update Date: | 09/19/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VX0000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Obstetrics |
| Taxonomy Definition: | |