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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