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

Thibodaux Regional Network Development Corporation

Organization Family Medicine Physician · NPI 1306125133

Thibodaux Regional Network Development Corporation is a Family Medicine Physician in Thibodaux, Louisiana. Works from 2 locations. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
2

Practice location Address checks out

900 N Canal Blvd
Thibodaux, LA 70301-8096
Phone: (985) 493-4004
Fax: (985) 493-4007
Show map & directions

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

Additional practice locations (1)

  • 400 N Acadia Rd, Thibodaux, LA 70301-4856 — (985) 493-4004

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1306125133
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kim Boudreaux — Contract Manager · (985) 493-4907
Other names Thibodaux Regional Internal Medicine Clinic; Thibodaux Regional Internal Medicine Clinic
NPI enumeratedAugust 10, 2011
Last updated in NPPESJune 1, 2026
Certification dateJune 1, 2026
Mailing addressPo Box 5478, Thibodaux, LA 70302-5478

Other providers in Thibodaux