Thibodaux Regional Network Development Corporation

NPI #1306125133 in Thibodaux, Louisiana

Provider Information

NPI Number: 1306125133
Entity Type: Organization
Organization Name: Thibodaux Regional Network Development Corporation
Primary Specialty: Internal Medicine
Enumeration Date: Aug 10, 2011
Last Updated: Dec 1, 2025

Practice Location

Address: 400 N ACADIA RD
City: Thibodaux
State: Louisiana
ZIP Code: 70301-4856
Phone: (985) 493-4004

Authorized Official

Name: KIM LEGENDRE BOUDREAUX
Title: CONTRACT MANAGER
Phone: (985) 493-4907

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Internal Medicine	207R00000X	Primary

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