Holly Thibodeaux is a Family in Tomball, Texas. Holly Thibodeaux practices all healthcare services and medical treatments related to Family. The NPI Number for Holly Thibodeaux is 1104028554. The last update date is 2015-01-19.
Holly Thibodeaux's current location address is 506 Graham Dr Ste 200, Tomball, Texas. You can contact this provider via phone number 2812553838 and fax number 2812553788. The mailing address for Holly Thibodeaux is 506 Graham Dr Ste 200, Tomball, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Holly Thibodeaux |
|---|---|
| Address | 506 Graham Dr Ste 200, Tomball, Texas |
| Phone Number | 2812553838 |
| Fax Number | 2812553788 |
| Sole Proprietor | N |
| Credentials | FNP-C |
NPI Number Detail
| NPI Number | 1104028554 |
|---|---|
| Provider Enumeration Date | 2007-06-05 |
| Last Updated Date | 2015-01-19 |
Provider Mailing Address Detail
| Address | 506 Graham Dr Ste 200 |
|---|---|
| City | Tomball |
| State | Texas (TX) |
| Post Code | 773753346 |
| Phone Number | 2812553838 |
| Fax Number | 2812553788 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | APO5164 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1028771 | LA | -- |
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What is the unique 10-digit identification code issued to Holly Thibodeaux by the Centers for Medicare & Medicaid Services?
The Holly Thibodeaux has been assigned the NPI (National Provider Identifier) 1104028554 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Holly Thibodeaux is physically located?
The Holly Thibodeaux is situated at the following address: 506 Graham Dr Ste 200, Tomball, TX 773753346.
What is the Holly Thibodeaux's area of specialization and corresponding taxonomy classification?
The Holly Thibodeaux's specialty field is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their specialties.
When did the Holly Thibodeaux receive its 1104028554?
The Holly Thibodeaux was issued its 1104028554 on 2007-06-05, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Holly Thibodeaux last refreshed?
The information related to the Holly Thibodeaux, including its address, specialty, and other relevant details, was last updated on 2015-01-19.