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THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION NPI 1730854423


NPI Information

NPI: 1730854423
Provider Name: THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 19D0648901

Address:
1238 SAINT CHARLES ST
HOUMA, LA
ZIP 70360
Phone: (985) 872-9430
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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'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 Contract Manager and has the following contact phone number (985) 493-4907.

The CLIA number assigned to this NPI record is 19D0648901 - hospital with a certificate type of Certificate of Accreditation.

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


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurologyNo
2207V00000XObstetrics & GynecologyNo
3207XX0004XOrthopaedic SurgeryFoot and Ankle SurgeryNo
4208100000XPhysical Medicine & RehabilitationNo
5207RH0003XInternal MedicineHematology & OncologyNo
6207T00000XNeurological SurgeryNo
72086S0122XSurgeryPlastic and Reconstructive SurgeryNo
8208VP0014XPain MedicineInterventional Pain MedicineNo
9213ES0103XPodiatristFoot & Ankle SurgeryNo
10207R00000XInternal MedicineYes

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: 11/14/2023

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.