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

Thibodaux Regional Network Development Corporation

Organization Surgery Physician · NPI 1578360327

Thibodaux Regional Network Development Corporation is a Surgery Physician in Thibodaux, Louisiana. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
3

Practice location Address checks out

604 N Acadia Rd Ste 207
Thibodaux, LA 70301-4897
Phone: (985) 446-1763
Fax: (985) 446-9813
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X
Vascular Surgery Physician Taxonomy 2086S0129X
Colon & Rectal Surgery Physician Taxonomy 208C00000X

Record details

NPI number1578360327
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kim Boudreaux — Director Of Contracting · (985) 493-4907
Other names Thibodaux Regional Surgical Specialty Clinic
NPI enumeratedFebruary 28, 2025
Last updated in NPPESJune 2, 2025
Certification dateJune 2, 2025
Mailing addressPo Box 669400, Dallas, TX 75266-9490

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