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 1396162269

Thibodaux Regional Network Development Corporation is a Family Medicine Physician in Paincourtville, Louisiana. Works from 2 locations. Registered with an NPI since 2014.

In the registry since
2014

Practice location Address checks out

114 Hwy 403
Paincourtville, LA 70391-0300
Phone: (985) 369-6070
Fax: (985) 369-3514
Show map & directions

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

Additional practice locations (1)

  • 3928 Highway 70 S, Pierre Part, LA 70339-4460 — (985) 353-1111

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1396162269
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kim Boudreaux — Director Of Contractings · (985) 493-4907
Other names Thibodaux Regional Family Medicine Clinic - Paincourtville
NPI enumeratedMarch 27, 2014
Last updated in NPPESJune 3, 2025
Certification dateJune 3, 2025
Mailing addressPo Box 5478, Thibodaux, LA 70302-5478

Other providers in Paincourtville