Organization
THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION
Active
Other names
Thibodaux Regional Radiation Oncology, Thibodaux Regional Cancer Institute
Organization subpart
No
Provider details
NPI number
Authorized official
KIM LEGENDRE BOUDREAUX (DIRECTOR OF CONTRACTING)
(985) 493-4907
Entity
Organization
Contact information
Practice address
608 N ACADIA RD, FL 1, THIBODAUX, LA 70301-4847
(985) 493-4346
(985) 449-2560
Mailing address
602 N ACADIA RD, CONTRACT MANAGEMENT, THIBODAUX, LA 70301
(985) 493-4907
(985) 449-2585
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Enumeration date
05/17/2023
Last updated
06/03/2025
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