THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION NPI 1134813280

NPI Information

  • NPI: 1134813280
  • Provider Name: THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION
  • Classification: Internal Medicine - 207RI0011X
  • Specialization: Interventional Cardiology
  • Entity Type: Organization
  • :
  • CLIA Number: 19D2294043
  • Address: 602 N ACADIA RD STE 101
    THIBODAUX, LA
    ZIP 70301
  • Phone: (985) 493-4993

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NPI Details

THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION is an interventional cardiology internal medicine in Thibodaux, LA. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION NPI is 1134813280. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

602 N ACADIA RD STE 101
THIBODAUX, LA
ZIP 70301-848
Phone: (985) 493-4993
Fax: (985) 493-4994

The provider's authorized official is Kim Legendre Boudreaux .
The authorized official title is Director Of Contracting and has the following contact phone number (985) 493-4907.

The CLIA number assigned to this NPI record is 19D2294043 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/2/2023 and was last updated on 6/2/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular DiseaseNo
2207RC0001XInternal MedicineClinical Cardiac ElectrophysiologyNo
3207RI0011XInternal MedicineInterventional CardiologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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