Thibodaux Regional Network Development Corporation

NPI #1285658310 in Thibodaux, Louisiana

Provider Information

NPI Number: 1285658310
Entity Type: Organization
Organization Name: Thibodaux Regional Network Development Corporation
Primary Specialty: Anesthesiology
Enumeration Date: Jul 26, 2006
Last Updated: Aug 21, 2023

Practice Location

Address: 602 N ACADIA RD
City: Thibodaux
State: Louisiana
ZIP Code: 70301-4847
Phone: (985) 447-5500

Authorized Official

Name: KIM LEGENDRE BOUDREAUX
Title: DIRECTOR OF CONTRACTING
Phone: (985) 493-4907

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X
Obstetrics & Gynecology - Maternal & Fetal Medicine — Maternal & Fetal Medicine	207VM0101X
Anesthesiology	207L00000X	Primary

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