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Nichole Thibodeaux is one of 1,419 physician assistants practicing in Houston, Texas .
Nichole Thibodeaux practices with Privia Medical Group Gulf Coast PLLC.
Registry record (NPPES)
NPI
1083010052
Type
Type 1 · Individual
Primary taxonomy
Physician Assistant, Medical · 363AM0700X
Address on file
1900 North Loop W Ste 580 Houston, TX 77018-8163 (713) 714-5376
Enumerated
Nov 18, 2014
Record last updated
Sep 9, 2020
License states listed
CO, TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXPhysician Assistant
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
1900 N Loop W Suite 580
Houston , TX 77018
(713) 714-5376
7900 Fannin St Suite 4000
Houston , TX 77054
(713) 512-7500
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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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