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 1790561868

Thibodaux Regional Network Development Corporation is a Family Medicine Physician in Pierre Part, Louisiana. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3

Practice location Address checks out

3928 Highway 70 S
Pierre Part, LA 70339-4460
Phone: (985) 369-6070
Fax: (985) 252-1400
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1790561868
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kim Boudreaux — Director Of Contracting · (985) 493-4907
Other names Thibodaux Regional Family Medicine Clinic - Pierre Part
NPI enumeratedSeptember 5, 2023
Last updated in NPPESJune 3, 2025
Certification dateJune 3, 2025
Mailing address602 North Acadia Road, Contract Management Dept., Thibodaux, LA 70301

Other providers in Pierre Part