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The Childrens Clinic

Pediatrics in Thibodaux, LA. Organization (NPI-2).

NPI number1982771663
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1982771663
Entity type
Organization (NPI-2)
Legal business name
The Childrens Clinic
Organization subpart
No
Enumeration date
Nov 29, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X Pediatrics––Yes

Practice location

807 Ridgefield Rd
Thibodaux, LA 70301

Phone 985-447-9045 · Fax 985-447-3349

Mailing address

807 Ridgefield Rd
Thibodaux, LA 70301

Phone 985-447-9045 · Fax 985-447-3349

Authorized official

Sheila G Pitre
MD Partner
9854479045

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