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Organization

THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION

Active
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Organization

THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION

Active
Parent organization
THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION
Organization subpart
Yes

Provider details

NPI number
Legal business name
THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION
Authorized official
KIM LEGENDRE BOUDREAUX (DIRECTOR OF CONTRACTING)
(985) 493-4907
Entity
Organization

Contact information

Practice address
604 N ACADIA RD, STE 410 - NEPHROLOGY, THIBODAUX, LA 70301-4955
(985) 493-4087
(985) 493-4088
Mailing address
602 N ACADIA RD, THIBODAUX, LA 70301-4823
(985) 493-4907
(985) 449-2585

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary

Other

Enumeration date
01/06/2026
Last updated
07/13/2026
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