NPI 1043836166

Thibodaux Regional Network Development Corporation

Organisation Foot & Ankle Surgery Podiatrist Thibodaux, LA

Practice location

Address: 290 Bowie Rd, Thibodaux, LA 70301-6712
Phone: (985) 493-4990
Fax: (985) 493-4991
Mailing address: PO Box 5478, Thibodaux, LA 70302-5478

Authorised official

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

Registered specialties (2)

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X

Other Podiatrist providers in Louisiana →

Podiatric Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QP1100X

Other Clinic/Center providers in Louisiana →

Registry record

NPI: 1043836166
Entity type: Organization
NPI issued: 24 Jun 2020
Record last updated: 2 Jun 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.