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Contact Information

THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION
400 N ACADIA RD
THIBODAUX, LA70301-4856
 Phone: 985-493-4004
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Dietetic Technician, Registered

136A00000X
Indicates primary specialty

NPI Profile & details for THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION

NPI Number 1770241507
LBN Legal business name THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION
Authorized official KIM BOUDREAUX - (CONTRACT MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/29/2021
Last updated 05/09/2024 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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