Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicholls State University

Organization Family Medicine Physician · NPI 1861881435

Nicholls State University is a Family Medicine Physician in Thibodaux, Louisiana. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
2

Practice location Address checks out

906 E 1st St
Thibodaux, LA 70301-6701
Phone: (985) 448-4837
Fax: (972) 367-3451
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X

Record details

NPI number1861881435
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mouzon Bass — Agent · (800) 555-9073
Other names Nicholls State Sports Medicine
NPI enumeratedJanuary 20, 2015
Last updated in NPPESJanuary 20, 2015
Mailing address5050 Spring Valley Rd, Dallas, TX 75244-3995

Other providers in Thibodaux