NPI 1164429171
Tommy Lester Fudge, MD
Practice location
- Address
- 604 N Acadia Rd Suite 409, Thibodaux, LA 70301
- Phone
- (985) 449-4670
- Fax
- (985) 449-2598
- Mailing address
- PO Box 5478, Thibodaux, LA 70302-5478
Registered specialties
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
Registry record
- NPI
- 1164429171
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 5 Jul 2005
- Record last updated
- 5 Jul 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.