THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION NPI 1770435851

NPI Information

  • NPI: 1770435851
  • Provider Name: THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION
  • Classification: Internal Medicine - 207RC0001X
  • Specialization: Clinical Cardiac Electrophysiology
  • Entity Type: Organization
  • Address: 602 N ACADIA RD
    STE 101B
    THIBODAUX, LA
    ZIP 70301
  • Phone: (985) 493-4938

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NPI Details

THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION is a clinical cardiac electrophysiology internal medicine in Thibodaux, LA. The provider is a field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION NPI is 1770435851. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

602 N ACADIA RD
STE 101B
THIBODAUX, LA
ZIP 70301
Phone: (985) 493-4938
Fax: (985) 449-2547

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 2/11/2026 and was last updated on 2/11/2026.

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
1207RC0001XInternal MedicineClinical Cardiac ElectrophysiologyYes

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

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