THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION NPI 1831942689

NPI Information

  • NPI: 1831942689
  • Provider Name: THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION
  • Classification: Family Medicine - 207QB0002X
  • Specialization: Obesity Medicine
  • Entity Type: Organization
  • :
  • Address: 604 N ACADIA RD
    STE 406
    THIBODAUX, LA
    ZIP 70301
  • Phone: (985) 493-4130

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NPI Details

THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION is an obesity medicine family medicine in Thibodaux, LA. The provider is a family medicine physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity. THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION NPI is 1831942689. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

604 N ACADIA RD
STE 406
THIBODAUX, LA
ZIP 70301-897
Phone: (985) 493-4130
Fax: (985) 493-4131

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 4/10/2024 and was last updated on 6/2/2025.

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
1133V00000XDietitian, RegisteredNo
2207QB0002XFamily MedicineObesity MedicineYes

What is NPI?

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

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