Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Thibodaux Regional Network Development Corporation

Organization Foot & Ankle Surgery Podiatrist · NPI 1043836166

Thibodaux Regional Network Development Corporation is a Foot & Ankle Surgery Podiatrist in Thibodaux, Louisiana. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2

Practice location Address checks out

290 Bowie Rd
Thibodaux, LA 70301-6712
Phone: (985) 493-4990
Fax: (985) 493-4991
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X
Podiatric Clinic/Center Taxonomy 261QP1100X

Record details

NPI number1043836166
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kim Boudreaux — Contract Manager · (985) 493-4907
Other names Thibodaux Regional Foot & Ankle Center
NPI enumeratedJune 24, 2020
Last updated in NPPESJune 2, 2025
Certification dateJune 2, 2025
Mailing addressPo Box 5478, Thibodaux, LA 70302-5478

Other providers in Thibodaux