DR. BRENT THIBODEAUX, MD
Pediatrics
Active
Individual
NPI: 1386705721
Practice Address
11445 SUNSET HILLS RDKAISER PERMANENTE RESTON MEDICAL CENTER
Reston, VA 20190
Phone: (703) 709-1500
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Pediatrics | 208000000X | Yes | 0101057696 (VA) |
Frequently Asked Questions
NPI 1386705721 is the National Provider Identifier for DR. BRENT THIBODEAUX, MD, a Pediatrics provider located in Reston, VA. This NPI was enumerated on December 12, 2006.
DR. BRENT THIBODEAUX, MD practices at 11445 SUNSET HILLS RD, KAISER PERMANENTE RESTON MEDICAL CENTER, Reston, VA 20190.
Quick Facts
- NPI
- 1386705721
- Type
- Individual
- Enumerated
- Dec 12, 2006
- Last Updated
- Jun 23, 2021
Nearby Providers
-
CHARLOTTE FANDEY, L.AC.
Acupuncturist
-
KANDYCE JONES, LGPC
Counselor - Professional
-
KENNETH KARLIN, M.D.
Ophthalmology
-
MS. GRACE NOZAKI, LCSW
Social Worker - Clinical
-
MS. MARGARET LIGHT, NURSE PRACTITIONER
Nurse Practitioner - Adult Health