Chandler N Thibodaux in Fort Worth - Physician Assistant
Chandler N Thibodaux - NPI 1205974045
Chandler N Thibodaux is a Physician Assistant in Fort Worth, Texas. Chandler N Thibodaux practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Chandler N Thibodaux is 1205974045. The last update date is 2014-06-11.
Chandler N Thibodaux's current location address is 1307 8th Ave Ste 505, Fort Worth, Texas. You can contact this provider via phone number 8179272332. The mailing address for Chandler N Thibodaux is 1307 8th Ave Ste 505, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Chandler N Thibodaux |
|---|---|
| Address | 1307 8th Ave Ste 505, Fort Worth, Texas |
| Phone Number | 8179272332 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.A |
NPI Number Detail
| NPI Number | 1205974045 |
|---|---|
| Provider Enumeration Date | 2007-02-02 |
| Last Updated Date | 2014-06-11 |
Provider Mailing Address Detail
| Address | 1307 8th Ave Ste 505 |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 7610441430 |
| Phone Number | 8179272332 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1790 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique identifier code issued to Chandler N Thibodaux by the Centers for Medicare & Medicaid Services (CMS)?
The Chandler N Thibodaux has been assigned the NPI (National Provider Identifier) 1205974045. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Chandler N Thibodaux?
The Chandler N Thibodaux is physically situated at 1307 8Th Ave Ste 505, in the city of Fort Worth, state of TX, with the postal code 7610441430.
What is the Chandler N Thibodaux's specialty and taxonomy code?
The Chandler N Thibodaux's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
When did the Chandler N Thibodaux receive its 1205974045?
The Chandler N Thibodaux was issued its 1205974045 on 2007-02-02, which is the date when the organization was assigned this unique identifier.
As of what date were the Chandler N Thibodaux's details last updated?
The information pertaining to the Chandler N Thibodaux, including its address, specialty, and other details, was most recently updated on 2014-06-11.
NPI Number: 1184627523
Address: 8901 Wisconsin Ave., National Naval Medical Center, Bethesda, MD