Organization
THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION
Active
Other names
Thibodaux Regional Foot & Ankle Center
Organization subpart
No
Provider details
NPI number
Authorized official
KIM LEGENDRE BOUDREAUX (CONTRACT MANAGER)
(985) 493-4907
Entity
Organization
Contact information
Practice address
290 BOWIE RD, THIBODAUX, LA 70301-6712
(985) 493-4990
(985) 493-4991
Mailing address
PO BOX 5478, THIBODAUX, LA 70302-5478
(985) 435-4831
(985) 449-2585
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
261QP1100X
Podiatric Clinic/Center
—
—
Other
Enumeration date
06/24/2020
Last updated
06/02/2025
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