Organization
THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION
Active
Other names
Thibodaux Regional Endocrinology Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KIM LEGENDRE BOUDREAUX (DIRECTOR OF CONTRACTING)
(985) 493-4907
Entity
Organization
Contact information
Practice address
726 N ACADIA RD, STE 3300, THIBODAUX, LA 70301-5079
(985) 493-3080
(985) 493-4007
Mailing address
PO BOX 5478, THIBODAUX, LA 70302-5478
(985) 493-3080
(985) 493-4007
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
03/29/2014
Last updated
06/02/2025
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