NPI 1104028554 HOLLY THIBODEAUX FNP-C TOMBALL TX. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Holly Thibodeaux - NPI: 1104028554

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: HOLLY THIBODEAUX
NPI Number: 1104028554
Entity Type Code: Individual (1)
Gender: F
Credentials: FNP-C
License Number: APO5164
Business Practice Address: 506 Graham Dr Ste 200
Tomball, TX - 773753346
Business Phone Number: 2812553838
Business Fax Number: 2812553788
Mailing Address: 506 Graham Dr Ste 200,
TOMBALL
State: TX
Postal Code: 773753346
Phone Number: 2812553838
Fax Number: 2812553788
NPI Enumeration Date: 06/05/2007
NPI Last Update Date: 01/19/2015
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 363LF0000X
License Number: APO5164
Healthcare Provider Taxonomy:
(Secondary)
N
State: LA
Taxonomy Type: Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Classification: Nurse Practitioner
Taxonomy Specialization: Family
Taxonomy Definition:


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