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THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION NPI 1801136023


NPI Information

NPI: 1801136023
Provider Name: THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION

Doing Business As: THIBODAUX REGIONAL PULMONOLOGY & CRITICAL CARE CLINIC

Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
604 N ACADIA RD
SUITE 411
THIBODAUX, LA
ZIP 70301
Phone: (985) 493-4933
Get Directions

THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION is a pulmonary disease internal medicine in Thibodaux, LA. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION NPI is 1801136023. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Thibodaux Regional Pulmonology & Critical Care Clinic.

The provider's business location address is:

604 N ACADIA RD
SUITE 411
THIBODAUX, LA
ZIP 70301-897
Phone: (985) 493-4933
Fax: (985) 493-4934

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 enumeration date for this NPI number is 2/25/2013 and was last updated on 9/6/2023.


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
1207RC0200XInternal MedicineCritical Care MedicineNo
2207RP1001XInternal MedicinePulmonary DiseaseYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12336673MEDICAIDLOUISIANA

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: 5/5/2024

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