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

Victor Theriault MD

Organization Family Medicine Physician · NPI 1164500906

Victor Theriault MD is a Family Medicine Physician in Bogalusa, Louisiana. Registered with an NPI since 2006.

In the registry since
2006
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Practice location Address checks out

712 Willis Ave
Bogalusa, LA 70427-3004
Phone: (985) 732-4853
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1164500906
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Victor Theriault — President · (985) 732-4853
NPI enumeratedNovember 1, 2006
Last updated in NPPESAugust 22, 2020
Mailing address712 Willis Ave, Bogalusa, LA 70427-3004

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