Fudge, Tommy Lester

Fudge, Tommy Lester is an individual health care provider with primary practice located at 604 N Acadia Rd Suite 409, Thibodaux LA 70301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Fudge, Tommy Lester can be contacted via phone (985) 449-4670.

Contact Information

Primary practice address
604 N Acadia Rd Suite 409 Thibodaux LA 70301
Phone: (985) 449-4670
Fax: (985) 449-2598
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 03512R Louisiana

Profile Details

NPI number 1164429171
LBN Legal business name Fudge, Tommy Lester
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Jul 5th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164429171 NPPES
Louisiana MEDICAID 1365475
Louisiana Other P00790563

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