THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION NPI 1790561868

NPI Information

  • NPI: 1790561868
  • Provider Name: THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • :
  • Address: 3928 HIGHWAY 70 S
    PIERRE PART, LA
    ZIP 70339
  • Phone: (985) 369-6070

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NPI Details

THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION is a family medicine in Pierre Part, LA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION NPI is 1790561868. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

3928 HIGHWAY 70 S
PIERRE PART, LA
ZIP 70339-460
Phone: (985) 369-6070
Fax: (985) 252-1400

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 9/5/2023 and was last updated on 6/3/2025.

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
1207R00000XInternal MedicineNo
2363L00000XNurse PractitionerNo
3207Q00000XFamily MedicineYes

What is NPI?

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This page was last updated on: 11/21/2025

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