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

Dr. Ethan James Thibodeaux, MD

Individual provider Anesthesiology Physician · NPI 1902474232

Dr. Ethan James Thibodeaux, MD is an Anesthesiology in Galveston, Texas. Graduated from University of Texas Medical Branch at Galveston in 2021, 5 years ago. Practices with UTMB Faculty Group Practice, a 1,074-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
5
Trained at
University of Texas Medical Branch at Galveston
Licensed in
TX
In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

301 University Blvd
Galveston, TX 77555-5302
Phone: (409) 772-1221
Fax: (409) 772-1224
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence BP10074397 (TX)

Record details

NPI number1902474232
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 14, 2021
Last updated in NPPESJune 14, 2021
Certification dateJune 11, 2021
Mailing address301 University Blvd, Galveston, TX 77555-0877

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolUNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated 2021 (5 years in practice)
Group practice Utmb Faculty Group Practice — 1074 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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