NPI 1043834260

Thibodaux Regional Network Development Corporation

Organisation Urology Physician Thibodaux, LA

Practice location

Address: 506 N Acadia Rd, Thibodaux, LA 70301-4862
Phone: (985) 493-4907
Fax: (985) 449-2585
Mailing address: PO Box 5478, Thibodaux, LA 70302-5478

Authorised official

Name: Kim Legendre Boudreaux
Title: Contract Management
Phone: (985) 493-4907

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X

Other Urology providers in Louisiana →

Registry record

NPI: 1043834260
Entity type: Organization
NPI issued: 3 Jun 2020
Record last updated: 9 Jul 2025

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.