THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION NPI 1730854423

NPI Details

THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION is an internal medicine in Houma, LA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION NPI is 1730854423. 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-houma.

The provider's business location address is:

1238 SAINT CHARLES ST
HOUMA, LA
ZIP 70360-745
Phone: (985) 872-9430
Fax: (985) 872-9534

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 19D2240433 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/13/2021 and was last updated on 2/20/2024.

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: