THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION - NPI 1396570511

Q: What is Thibodaux Regional Network Development Corporation's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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About Thibodaux Regional Network Development Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION (NPI 1396570511), doing business as Thibodaux Regional Family Medicine Clinic - Thibodaux, is a healthcare organization registered as a family medicine in Thibodaux, Louisiana and active in the NPI registry since September 2024. The organization maintains a secondary practice location in Thibodaux and lists Kim Legendre Boudreaux, Director Of Contracting, as its authorized official.

NPPES Registry Identity

NPI1396570511

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameTHIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION

Location Address400 N ACADIA RDThibodaux, LA 70301-4856

Mailing Address602 N Acadia RdThibodaux, LA 70301-4823 · (985) 494-4907 · Fax (985) 449-2585

Phone(985) 493-3034

Fax(985) 493-3035

Organization SubpartNo

Authorized OfficialKim Legendre BoudreauxDirector Of Contracting · (985) 493-4907

Enumeration DateSeptember 6, 2024

Last NPPES UpdateJune 1, 20264 updates tracked since enumeration

NPPES CertifiedJune 1, 2026

✔ NPI 1396570511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X

400 N ACADIA RD, Thibodaux, LA 70301

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Other Names 1

Doing Business AsThibodaux Regional Family Medicine Clinic - Thibodaux

Secondary Practice Location 1

Location 1604 N Acadia Rd, Ste 406AThibodaux, LA 70301-4897 · Phone (985) 493-3034 · Fax (985) 493-3035

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. WAYNE JOSEPH PHARO M.D.

Specialist