Thibodeaux, Holly
Thibodeaux, Holly is an individual health care provider with primary practice located at 506 Graham Dr Ste 200 , Tomball TX 77375-3346. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Thibodeaux, Holly can be contacted via phone (281) 255-3838.Contact Information
Primary practice address
506 Graham Dr Ste 200
Tomball TX 77375-3346
Phone: (281) 255-3838
Fax: (281) 255-3788
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APO5164 | Louisiana |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 125933 | Texas |
Profile Details
| NPI number | 1104028554 |
|---|---|
| LBN Legal business name | Thibodeaux, Holly |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2007 |
| Last updated | Jan 19th, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104028554 | NPPES |
| Louisiana | MEDICAID | 1028771 |
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