# THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1770435851
- **Legal business name:** THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION
- **Authorized official:** KIM LEGENDRE BOUDREAUX (DIRECTOR OF CONTRACTING)
- **Authorized official phone:** (985) 493-4907

## Contact information

- **Practice address:** 602 N ACADIA RD, STE 101B, THIBODAUX, LA 70301
- **Practice address phone:** (985) 493-4938
- **Practice address fax:** (985) 449-2547
- **Mailing address:** 602 N ACADIA RD, CONTRACT MANAGEMENT DEPT., THIBODAUX, LA 70301
- **Mailing address phone:** (985) 493-4907

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | — | NULL | Yes |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/11/2026
- **Last updated:** 02/11/2026