Organization
THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION
Active
Other names
Thibodaux Regional Surgical Specialty Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KIM LEGENDRE BOUDREAUX MBA (DIRECTOR OF CONTRACTING)
(985) 493-4907
Entity
Organization
Contact information
Practice address
604 N ACADIA RD, STE 207, THIBODAUX, LA 70301-4897
(985) 446-1763
(985) 446-9813
Mailing address
PO BOX 669400, DALLAS, TX 75266-9490
(985) 493-4907
(985) 449-2585
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
—
208C00000X
Colon & Rectal Surgery Physician
—
—
Other
Enumeration date
02/28/2025
Last updated
06/02/2025
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