Organization · Type 2 NPI

Thibodaux Regional Network Development Corporation

Urology Physician · Thibodaux, LA

NPI number 1043834260 Active

Practice location

506 N Acadia Rd
Thibodaux, LA 70301-4862

Call (985) 493-4907 Map

Fax (985) 449-2585

Mailing address

PO Box 5478
Thibodaux, LA 70302-5478

Specialties and licenses

Taxonomy	Code	License
Urology Physician Primary	208800000X	None listed

Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

8 other providers at this address

Other urology physician providers in Thibodaux

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NPI record

NPI: 1043834260
Entity type: Organization (Type 2)
Issued: Jun 3, 2020
Last updated: Jul 9, 2025
Status: Active

Other names

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Thibodaux Regional Urology Clinic · doing business as
Thibodaux Regional Urology Clinic · doing business as

Authorized official

Kim Legendre Boudreaux
Contract Management
(985) 493-4907

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About NPI 1043834260

Thibodaux Regional Network Development Corporation's National Provider Identifier is 1043834260, issued on Jun 3, 2020. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Thibodaux, LA. The record was last updated on Jul 9, 2025.