THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION NPI 1578360327

NPI Information

  • NPI: 1578360327
  • Provider Name: THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION
  • Classification: Surgery - 208600000X
  • Entity Type: Organization
  • :
  • Address: 604 N ACADIA RD
    STE 207
    THIBODAUX, LA
    ZIP 70301
  • Phone: (985) 446-1763

Map and Directions

Get Directions

NPI Details

THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION is a surgery in Thibodaux, LA. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION NPI is 1578360327. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

604 N ACADIA RD
STE 207
THIBODAUX, LA
ZIP 70301-897
Phone: (985) 446-1763
Fax: (985) 446-9813

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 enumeration date for this NPI number is 2/28/2025 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
12086S0129XSurgeryVascular SurgeryNo
2208C00000XColon & Rectal SurgeryNo
3208600000XSurgeryYes

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.