NPI 1578360327

Thibodaux Regional Network Development Corporation

Organisation Surgery Physician Thibodaux, LA

Practice location

Address: 604 N Acadia Rd STE 207, Thibodaux, LA 70301-4897
Phone: (985) 446-1763
Fax: (985) 446-9813
Mailing address: PO Box 669400, Dallas, TX 75266-9490

Authorised official

Name: Kim Legendre Boudreaux
Title: Director of Contracting
Phone: (985) 493-4907

Registered specialties (3)

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X

Other Surgery providers in Louisiana →

Vascular Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 2086S0129X

Colon & Rectal Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208C00000X

Other Colon & Rectal Surgery providers in Louisiana →

Registry record

NPI: 1578360327
Entity type: Organization
NPI issued: 28 Feb 2025
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.