Tommy Lester Fudge in Thibodaux - Thoracic Surgery (cardiothoracic Vascular Surgery)
Tommy Lester Fudge - NPI 1164429171
Tommy Lester Fudge is a Thoracic Surgery (cardiothoracic Vascular Surgery) in Thibodaux, Louisiana. Tommy Lester Fudge practices all healthcare services and medical treatments related to Thoracic Surgery (cardiothoracic Vascular Surgery). The NPI Number for Tommy Lester Fudge is 1164429171. The last update date is 2018-07-05.
Tommy Lester Fudge's current location address is Po Box 5478, Thibodaux, Louisiana. You can contact this provider via phone number 9854494670 and fax number 9854492598. The mailing address for Tommy Lester Fudge is Po Box 5478, Thibodaux, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tommy Lester Fudge |
|---|---|
| Address | Po Box 5478, Thibodaux, Louisiana |
| Phone Number | 9854494670 |
| Fax Number | 9854492598 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1164429171 |
|---|---|
| Provider Enumeration Date | 2005-07-05 |
| Last Updated Date | 2018-07-05 |
Provider Mailing Address Detail
| Address | Po Box 5478 |
|---|---|
| City | Thibodaux |
| State | Louisiana (LA) |
| Post Code | 703025478 |
| Phone Number | 9854494670 |
| Fax Number | 9854492598 |
Provider's Primary Taxonomy Detail
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
|---|---|
| Taxonomy | 208G00000X |
| Licence No | 03512R |
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Definition: A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1365475 | LA | -- | |
| P00790563 | LA | RR MEDICARE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Tommy Lester Fudge?
The Tommy Lester Fudge has been issued the NPI (National Provider Identifier) 1164429171 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Tommy Lester Fudge is geographically located?
The Tommy Lester Fudge is physically situated at the following location: Po Box 5478, Thibodaux, LA, 703025478.
What is Tommy Lester Fudge's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Tommy Lester Fudge is Thoracic Surgery (cardiothoracic Vascular Surgery), and the corresponding taxonomy classification code for this specialized field is 208G00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1164429171 to Tommy Lester Fudge?
The Centers for Medicare & Medicaid Services originally issued the 1164429171 to Tommy Lester Fudge on 2005-07-05.
When was the information regarding Tommy Lester Fudge, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Tommy Lester Fudge, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2018-07-05.