THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION NPI 1215355128

NPI Information

  • NPI: 1215355128
  • Provider Name: THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION
  • Classification: Internal Medicine - 207RE0101X
  • Specialization: Endocrinology, Diabetes & Metabolism
  • Entity Type: Organization
  • Doing Business As: THIBODAUX REGIONAL ENDOCRINOLOGY CLINIC
  • CLIA Number: 19D2183662
  • Address: 726 N ACADIA RD
    STE 3300
    THIBODAUX, LA
    ZIP 70301
  • Phone: (985) 493-3080

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NPI Details

THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION is an endocrinology and diabetes and metabolism internal medicine in Thibodaux, LA. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION NPI is 1215355128. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Thibodaux Regional Endocrinology Clinic.

The provider's business location address is:

726 N ACADIA RD
STE 3300
THIBODAUX, LA
ZIP 70301-847
Phone: (985) 493-3080
Fax: (985) 493-4007

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 19D2183662 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/29/2014 and was last updated on 9/6/2023.

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
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismYes

What is NPI?

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This page was last updated on: 3/30/2025

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