Organization
THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION
Active
Organization
THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION
Active
Other names
Thibodaux Regional Anesthesiology
Organization subpart
No
Provider details
NPI number
Authorized official
KIM LEGENDRE BOUDREAUX (DIRECTOR OF CONTRACTING)
(985) 493-4907
Entity
Organization
Contact information
Practice address
602 N ACADIA RD, ANESTHESIOLOGY DEPT, THIBODAUX, LA 70301-4823
(985) 493-4750
(985) 449-2552
Mailing address
602 N ACADIA RD, ANESTHESIOLOGY DEPT., THIBODAUX, LA 70301
(985) 493-4907
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
09/07/2023
Last updated
06/03/2025
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