THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION is a multi-specialty clinic center in Raceland, LA. THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION NPI is 1497348379. The provider is registered as an organization entity type and is a multi-specialty group. The provider Is Doing Business As Thibodaux Regional Multi-specialty Clinic-raceland.
The provider's business location address is:
4560 HIGHWAY 1 STE 3 RACELAND, LA ZIP 70394-779 Phone: (985) 435-4831 Fax: (985) 449-2513
The provider's authorized official is Kim Legendre Boudreaux . The authorized official title is Contract Manager and has the following contact phone number (985) 493-4907.
The CLIA number assigned to this NPI record is 19D2248045 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 2/11/2021 and was last updated on 9/5/2023.
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:
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
NPI Synchronization or Removal
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