Thibodeaux Enterprises of Texas

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

THIBODEAUX ENTERPRISES OF TEXAS

Doing business as

Thibodeaux Medical Clinic

Practice address

610 Strickland Dr Ste 130
Orange, TX 77630-4788

Phone

(409) 330-4885

Fax

(409) 250-3020

NPI assigned

Dec 5, 2022

Last updated

Dec 28, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Derrick Thibodeaux, NPNPI 1659762839

Title

Owner

Phone

(409) 330-4885

Specialties & licenses 1

Addresses

Other names 1

• Thibodeaux Medical Clinic Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Derrick Thibodeaux, N.P.

  • Family Nurse Practitioner
  • Vinton, LA
  • NPI 1659762839
  NPD Authorized official
• Lexus Louvier Martin, APRN, FNP-C

  • Family Nurse Practitioner
  • Sulphur, LA
  • NPI 1265090179

  Single Specialty

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672185600000",
    "number": "1396455036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 HORRIDGE ST",
            "city": "VINTON",
            "state": "LA",
            "postal_code": "706684531",
            "telephone_number": "337-324-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 STRICKLAND DR STE 130",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776304788",
            "telephone_number": "409-330-4885",
            "fax_number": "409-250-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIBODEAUX ENTERPRISES OF TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-05",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A",
        "authorized_official_last_name": "THIBODEAUX",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-330-4885",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thibodeaux Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Matthew Wilder Thayer, RNFA,CNOR
• The Eye Place, Inc.
• Janice Myriam Thibodeaux, LPTA
• Melissa Nicole Thompson, FNP-C
• Thrash Chiropractic Clinic
• David Paul Thrash, D.C.
• Lisa Ann Thrash, D.C.

• Clinic/Center in Orange, TX
• Providers in Orange, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.