Organization · Type 2 NPI

Thibodaux Regional Network Development Corporation

Hematology & Oncology Physician · Thibodaux, LA

NPI number 1295069490 Active

Practice location

608 N Acadia Rd, Fl 3
Thibodaux, LA 70301-4847

Call (985) 493-4346 Map

Fax (985) 449-2560

Mailing address

PO Box 5478
Thibodaux, LA 70302-5478

Specialties and licenses

Taxonomy	Code	License
Hematology & Oncology Physician Primary	207RH0003X	None listed
Radiation Oncology Physician	2085R0001X	None listed

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

10 other providers at this address

NPI record

NPI: 1295069490
Entity type: Organization (Type 2)
Issued: Sep 22, 2009
Last updated: Jun 3, 2025
Status: Active

Other names

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Thibodaux Regional Cancer Institute · doing business as
Thibodaux Regional Oncology Clinic · doing business as

Authorized official

Kim Legendre Boudreaux
Director of Contracting
(985) 493-4907

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1295069490

Thibodaux Regional Network Development Corporation's National Provider Identifier is 1295069490, issued on Sep 22, 2009. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Thibodaux, LA. The record was last updated on Jun 3, 2025.