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 1447854294

Thibodaux Regional Network Development Corporation is a Family Medicine Physician in Thibodaux, Louisiana. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
6

Practice location Address checks out

604 N Acadia Rd Ste 100
Thibodaux, LA 70301-4897
Phone: (985) 447-9045
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X
Family Medicine Physician Taxonomy 207Q00000X
Adolescent Medicine (Family Medicine) Physician Taxonomy 207QA0000X
Pediatric Adolescent Medicine Physician Taxonomy 2080A0000X
Family Nurse Practitioner Taxonomy 363LF0000X
Pediatric Nurse Practitioner Taxonomy 363LP0200X

Record details

NPI number1447854294
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kim Boudreaux — Contract Manager · (985) 493-4907
Other names Thibodaux Regional Pediatric Clinic; Thibodaux Regional Pediatric Clinic
NPI enumeratedNovember 23, 2020
Last updated in NPPESMarch 6, 2025
Certification dateMarch 6, 2025
Mailing addressPo Box 5478, Thibodaux, LA 70302-5478

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