Trpp-Aco LLC

NPI #1295309029 in Thibodaux, Louisiana

Provider Information

NPI Number: 1295309029
Entity Type: Organization
Organization Name: Trpp-Aco LLC
Subpart: Yes (part of a larger organization)
Parent Organization: THIBODAUX REGIONAL HEALTH SYSTEM INC
Primary Specialty: Family Medicine
Enumeration Date: May 17, 2021
Last Updated: May 17, 2021

Practice Location

Address: 602 N. ACADIA ROAD
City: Thibodaux
State: Louisiana
ZIP Code: 70301
Phone: (985) 493-4907

Authorized Official

Name: KIM LEGENDRE BOUDREAUX, MBA
Title: EXECUTIVE DIRECTOR
Phone: (985) 449-2585

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Pediatrics	208000000X
Family Medicine	207Q00000X	Primary

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