Thibodaux Regional Network Development Corporation

NPI #1316604762 in Thibodaux, Louisiana

Provider Information

NPI Number: 1316604762
Entity Type: Organization
Organization Name: Thibodaux Regional Network Development Corporation
Primary Specialty: Internal Medicine
Enumeration Date: Nov 19, 2021
Last Updated: Sep 5, 2023

Practice Location

Address: 726 N. ACADIA ROAD
Address 2: EDUCATION SUITE
City: Thibodaux
State: Louisiana
ZIP Code: 70301
Phone: (985) 493-4004

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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