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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. MEREDITH WADE THIBODEAUX, P.A.-C

Active

MRS. MEREDITH WADE THIBODEAUX, P.A.-C is a Physician Assistant healthcare provider located in SHREVEPORT, Louisiana. NPI 1811322605 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · SHREVEPORT, LA

Registration Details

NPI Number
1811322605
Provider Type
Individual
Gender
Female
NPI Issued
Sep 11, 2013 (12.941672501819 yrs)
Last Updated
Dec 10, 2015
License
200668 (LA)

Practice Information

Address
1541 KINGS HWY
SHREVEPORT, LA, 711034228
Browse LA providers · Browse ZIP 71103
Phone
3186754394
Fax
3186756186
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in SHREVEPORT, LA

Name Credential NPI
DONNA TERRY PA-C 1104823947
KIMBERLY E MEYER PA-C 1760475651
KENNETH BETZING PA-C 1053304048
MARY ALEXIS K GREEN PA-C 1366436487
MRS. LORI A STACKOW PAC 1467449835
MR. MARVIN KEITH RAINWATER PA 1457310773
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.