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Abundant Health Medical Clinic, Llc
Medical Specialty Clinic/Center in Thibodaux, Louisiana
NPI 1003288614

Abundant Health Medical Clinic, Llc is a Medical Specialty Clinic/Center based in Thibodaux, LA and is specialized in Medical Specialty. Abundant Health Medical Clinic, Llc practices in Thibodaux, LA. The NPI Number for Abundant Health Medical Clinic, Llc is 1003288614 and holds a License No. (Louisiana).

The current practice location address for Abundant Health Medical Clinic, Llc is 1001 Jackson St, Thibodaux, LA and can be reached out via phone at 985-492-9111 and via fax at 985-492-9114.

Location: 1001 Jackson St, Thibodaux, LA, 70302-5011
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003288614
Provider Name
Abundant Health Medical Clinic, Llc
Credential
Provider Entity Type
Organization
Address
1001 Jackson St, Thibodaux, LA, 70302-5011
Phone Number
985-492-9111
Fax Number
985-492-9114
Provider Enumeration Date
10/22/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2371231. 05 LA
institution
Provider Business Practice Location Address Details
Address
1001 Jackson St
City
Thibodaux
State
Louisiana
Zip
70301-3227
Phone Number
985-492-9111
Fax Number
985-492-9114
person
Provider Business Mailing Address Details
Address
1001 Jackson St
City
Thibodaux
State
Louisiana
Zip
70301-3227
Phone Number
985-492-9111
Fax Number
985-492-9114
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
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Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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