Most Relevant Information
Provider Data
| NPI Number: | 1003450149 |
| Provider Name: | PAULA CLAUSON THIBODEAUX |
| Entity Type: | Individual |
| Taxonomy Code: | 237700000X |
| Specialty: | Hearing Instrument Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/01/2019 |
| Last Updated: | 11/01/2019 |
Provider Practice Location
404 PERE MEGRET ST OFC F
ABBEVILLE
LA
705104634
Practice Location Phone/Fax
| Phone: | 3377400405 |
| Fax: |
Provider Mailing Location
5750 JOHNSTON ST STE 502
LAFAYETTE
LA
705035334
Provider Mailing Phone/Fax
| Phone: | 3377400405 |
| Fax: |