Lara Cornelia Thibodeaux in College Station - Family
Lara Cornelia Thibodeaux - NPI 1902894595
Lara Cornelia Thibodeaux is a Family in College Station, Texas. Lara Cornelia Thibodeaux practices all healthcare services and medical treatments related to Family. The NPI Number for Lara Cornelia Thibodeaux is 1902894595. The last update date is 2019-02-13.
Lara Cornelia Thibodeaux's current location address is 1500 University Dr E, College Station, Texas. You can contact this provider via phone number 9798461100 and fax number 9792609390. The mailing address for Lara Cornelia Thibodeaux is 1500 University Dr E, College Station, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lara Cornelia Thibodeaux |
|---|---|
| Address | 1500 University Dr E, College Station, Texas |
| Phone Number | 9798461100 |
| Fax Number | 9792609390 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1902894595 |
|---|---|
| Provider Enumeration Date | 2005-10-08 |
| Last Updated Date | 2019-02-13 |
Provider Mailing Address Detail
| Address | 1500 University Dr E |
|---|---|
| City | College Station |
| State | Texas (TX) |
| Post Code | 778402600 |
| Phone Number | 9798461100 |
| Fax Number | 9792609390 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 593517 |
|
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 |
|---|---|---|---|
| 1841562451 | TX | FACILITY NPI (SJHP FRANKLIN) | |
| 2952517-01 | TX | BVCAA DBA ST,. JOSEPH HEALTH P | |
| 67-1981 | TX | BVCAA DBA: ST. JOSEPH HEALTH P |
Post Comment/ Review Below
What is the unique identifier code issued to Lara Cornelia Thibodeaux by the Centers for Medicare & Medicaid Services?
The Lara Cornelia Thibodeaux has been assigned the NPI (National Provider Identifier) 1902894595. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Lara Cornelia Thibodeaux's facilities are situated?
The facilities of Lara Cornelia Thibodeaux are physically located at the following address: 1500 University Dr E, College Station, TX, 778402600.
What is Lara Cornelia Thibodeaux's area of expertise and its corresponding taxonomy classification?
The Lara Cornelia Thibodeaux's field of specialization is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1902894595 to Lara Cornelia Thibodeaux?
The Centers for Medicare & Medicaid Services originally issued the 1902894595 to Lara Cornelia Thibodeaux on 2005-10-08.
As of what date were the details pertaining to Lara Cornelia Thibodeaux last refreshed?
The information related to the Lara Cornelia Thibodeaux, including its address, specialty, and other relevant details, was last updated on 2019-02-13.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH