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THIBODEAUX MEDICAL CLINIC
NPI 1396455036
Clinic/Center in Orange, TX

Active since December 05, 2022CLIA 19D2175182 · Waiver
610 STRICKLAND DR STE 130, ORANGE, TX 77630(409) 330-4885(409) 250-3020 Get Directions Write a Review

NPPES record last updated: December 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 28, 2022, Dec 5, 2022 (2 updates tracked since 2022).

About Thibodeaux Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THIBODEAUX MEDICAL CLINIC (NPI 1396455036) is a healthcare organization registered as a clinic/center in Orange, Texas and active in the NPI registry since December 2022. The organization holds a CLIA Waiver certificate valid through November 17, 2027 and lists Derrick Thibodeaux, Owner, as its authorized official.

NPPES Registry Identity

NPI1396455036
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameTHIBODEAUX ENTERPRISES OF TEXAS
Location Address610 STRICKLAND DR STE 130Orange, TX 77630-4788
Mailing Address1303 Horridge StVinton, LA 70668-4531 · (337) 324-8060
Phone(409) 330-4885
Fax(409) 250-3020
Organization SubpartNo
Authorized OfficialDerrick ThibodeauxOwner · (409) 330-4885
Enumeration DateDecember 5, 2022
Last NPPES UpdateDecember 28, 20222 updates tracked since enumeration
NPPES CertifiedDecember 28, 2022
✔ NPI 1396455036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
610 STRICKLAND DR STE 130, Orange, TX 77630
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Other Names 1

Doing Business AsThibodeaux Medical Clinic

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D2175182

Thibodeaux Medical Clinic, LLC · Vinton, LA
Active · expires Nov 17, 2027
CLIA Number19D2175182
Laboratory TypePractitioner Other
Certificate Effective DateNovember 18, 2025
Certificate Expiration DateNovember 17, 2027
Laboratory DirectorDerrick F. Thibodeaux
Laboratory Phone(337) 739-3134
Laboratory LocationThibodeaux Medical Clinic, LLC1303 Horridge Street, Vinton, LA 70668
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MICCA R RIEDEL ANP-C, GNP-BC
Nurse Practitioner (Adult Health)
610 STRICKLAND DR STE 130
ORANGE, TX 77630
Orange County (409) 291-8710
MICCA R. RIEDEL NP PLLC
Nurse Practitioner (Family)
610 STRICKLAND DR STE 130
ORANGE, TX 77630
Orange County (409) 291-8710

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thibodeaux Enterprises Of Texas's NPI number?

The NPI number for Thibodeaux Enterprises Of Texas is 1396455036. It was assigned to this organization in the NPPES registry on December 5, 2022. The provider is doing business as Thibodeaux Medical Clinic.

Where is Thibodeaux Enterprises Of Texas located?

Thibodeaux Enterprises Of Texas is located at 610 Strickland Dr Ste 130, Orange, TX 77630. The listed phone number is (409) 330-4885.

What is Thibodeaux Enterprises Of Texas's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Thibodeaux Enterprises Of Texas hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2175182) is associated with this NPI, valid through November 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Thibodeaux Enterprises Of Texas accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Thibodeaux Enterprises Of Texas as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Thibodeaux Enterprises Of Texas was last updated on December 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.