Thibodaux Regional Network Development Corporation
Thibodaux Regional Network Development Corporation is a Family Medicine Physician in Raceland, Louisiana. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 11
Practice location Address checks out
4560 Highway 1 Ste 3Raceland, LA 70394-2779
Phone: (985) 435-4831
Fax: (985) 449-2513
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Multi-Specialty Clinic/Center (primary) | Taxonomy 261QM1300X |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X |
| Internal Medicine Physician | Taxonomy 207R00000X |
| Hematology (Internal Medicine) Physician | Taxonomy 207RH0000X |
| Hematology & Oncology Physician | Taxonomy 207RH0003X |
| Pulmonary Disease Physician | Taxonomy 207RP1001X |
| Neurological Surgery Physician | Taxonomy 207T00000X |
| Pediatrics Physician | Taxonomy 208000000X |
| Neurology Physician | Taxonomy 2084N0400X |
| Urology Physician | Taxonomy 208800000X |
| Family Nurse Practitioner | Taxonomy 363LF0000X |
Record details
| NPI number | 1497348379 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kim Boudreaux — Contract Manager · (985) 493-4907 |
| Other names | Thibodaux Regional Multi-Specialty Clinic-Raceland; Thibodaux Regional Multi-Specialty Clinic-Raceland |
| NPI enumerated | February 11, 2021 |
| Last updated in NPPES | September 5, 2023 |
| Certification date | September 5, 2023 |
| Mailing address | 602 N Acadia Rd, Thibodaux, LA 70301-4823 |
Other providers in Raceland
-
Andre Dennie Duplantis, MD
111 Acadia Dr, Raceland, LA 70394 · (985) 537-7575
-
Jack William Heidenreich, MD
111 Acadia Dr, Raceland, LA 70394-2619 · (985) 537-7575
-
Michael Joseph Marcello, MD
111 Acadia Dr, Raceland, LA 70394 · (985) 537-7575