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

Tayla Marissa Thibodeaux

Individual provider Physician Assistant · NPI 1013780428

Tayla Marissa Thibodeaux is a Physician Assistant in Houston, Texas. Licensed in Texas. Registered with an NPI since 2023.

Licensed in
TX
In the registry since
2023

Practice location Address checks out

6621 Fannin St
Houston, TX 77030-2399
Phone: (832) 824-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA17525 (TX)

Record details

NPI number1013780428
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 7, 2023
Last updated in NPPESFebruary 13, 2024
Certification dateFebruary 13, 2024
Mailing address3595 Prescott Dr, Beaumont, TX 77706-6351

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