Dr JEFFREY J THIBODEAUX MD is a male medical professional, specializing in Urology. He graduated in 1990 from Louisiana State University School Of Medicine In Shreveport.
SOUTHERN UROLOGY, LLC
120 RUE LOUIS XIV
LAFAYETTE
LA
705085739
Tel: 3377697779
| Npi | 1275634107 |
| Pac Id | 5698723583 |
| Professional Enrollment Id | I20050107000086 |
| Last Name | THIBODEAUX |
| First Name | JEFFREY |
| Middle Name | J |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
| Graduation Year | 1990 |
| Primary Specialty | UROLOGY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | SOUTHERN UROLOGY, LLC |
| Group Practice Pac Id | 5597833772 |
| Number Of Group Practice Members | 25 |
| Line 1 Street Address | 120 RUE LOUIS XIV |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 705085739 |
| Phone Number | 3377697779 |
| Hospital Affiliation Ccn 1 | 190034 |
| Hospital Affiliation Lbn 1 | ABBEVILLE GENERAL HOSPITAL |
| Hospital Affiliation Ccn 2 | 190102 |
| Hospital Affiliation Lbn 2 | OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC |
| Hospital Affiliation Ccn 3 | 190259 |
| Hospital Affiliation Lbn 3 | LAFAYETTE SURGICAL SPECIALTY HOSPITAL |
| Hospital Affiliation Ccn 4 | 190002 |
| Hospital Affiliation Lbn 4 | LAFAYETTE GENERAL MEDICAL CENTER |
| Hospital Affiliation Ccn 5 | 191322 |
| Hospital Affiliation Lbn 5 | ABROM KAPLAN MEMORIAL HOSPITAL |
| Professional Accepts Medicare Assignment | Y |
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