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 1396570511

Thibodaux Regional Network Development Corporation is a Family Medicine Physician in Thibodaux, Louisiana. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

400 N Acadia Rd
Thibodaux, LA 70301-4856
Phone: (985) 493-3034
Fax: (985) 493-3035
Show map & directions

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

Additional practice locations (1)

  • 604 N Acadia Rd, Thibodaux, LA 70301-4897 — (985) 493-3034

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Primary Care Clinic/Center Taxonomy 261QP2300X

Record details

NPI number1396570511
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kim Boudreaux — Director Of Contracting · (985) 493-4907
Other names Thibodaux Regional Family Medicine Clinic - Thibodaux; Thibodaux Regional Family Medicine Clinic - Thibodaux
NPI enumeratedSeptember 6, 2024
Last updated in NPPESJune 1, 2026
Certification dateJune 1, 2026
Mailing address602 N Acadia Rd, Thibodaux, LA 70301-4823

Other providers in Thibodaux