# THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Thibodaux Regional Foot & Ankle Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043836166
- **Authorized official:** KIM LEGENDRE BOUDREAUX (CONTRACT MANAGER)
- **Authorized official phone:** (985) 493-4907

## Contact information

- **Practice address:** 290 BOWIE RD, THIBODAUX, LA 70301-6712
- **Practice address phone:** (985) 493-4990
- **Practice address fax:** (985) 493-4991
- **Mailing address:** PO BOX 5478, THIBODAUX, LA 70302-5478
- **Mailing address phone:** (985) 435-4831
- **Mailing address fax:** (985) 449-2585

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |
| 261QP1100X | Podiatric Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 06/24/2020
- **Last updated:** 06/02/2025