person
Lara Cornelia Thibodeaux, NP
Family Nurse Practitioner in Franklin, Texas
NPI 1902894595

Lara Cornelia Thibodeaux is a Family Nurse Practitioner based in College Station, TX and is specialized in Family. Lara Cornelia Thibodeaux practices in Franklin, TX and has the professional credentials of NP. The NPI Number for Lara Cornelia Thibodeaux is 1902894595 and holds a License No. 593517 (Texas).

The current practice location address for Lara Cornelia Thibodeaux is 808 W Us Highway 79, Franklin, TX and can be reached out via phone at 979-282-4540 and via fax at 979-828-3006.

Location: 808 W Us Highway 79, Franklin, TX, 77840-2600
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Provider Profile Details
NPI Number
1902894595
Provider Name
Lara Cornelia Thibodeaux
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
808 W Us Highway 79, Franklin, TX, 77840-2600
Phone Number
979-282-4540
Fax Number
979-828-3006
Provider Enumeration Date
10/08/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1841562451 01 TX FACILITY NPI (SJHP FRANKLIN)
2952517-01 01 TX BVCAA DBA ST,. JOSEPH HEALTH POINT FRANKLIN MEDICAID (PTAN) NUMBER
67-1981 01 TX BVCAA DBA: ST. JOSEPH HEALTH POINT FRANKLIN PTAN (MEDICARE NUMBER)
institution
Provider Business Practice Location Address Details
Address
808 W Us Highway 79
City
State
Zip
77856
Phone Number
979-282-4540
Fax Number
979-828-3006
person
Provider Business Mailing Address Details
Address
808 W Us Highway 79
City
State
Zip
77856
Phone Number
979-282-4540
Fax Number
979-828-3006
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
593517 (Texas)
Definition
Definition to come...
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