Organization · Type 2 NPI

Thibodaux Regional Network Development Corporation

Gastroenterology Physician · Thibodaux, LA

NPI number 1659124485 Active

Practice location

604 N Acadia Rd, Ste 410
Thibodaux, LA 70301-4897

Call (985) 493-4120 Map

Fax (985) 493-4121

Mailing address

602 N Acadia Rd
Thibodaux, LA 70301-4823

Specialties and licenses

Taxonomy	Code	License
Gastroenterology Physician Primary	207RG0100X	None listed

Gastroenterology Physician: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

28 other providers at this address

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NPI record

NPI: 1659124485
Entity type: Organization (Type 2)
Issued: Apr 10, 2024
Last updated: Jun 2, 2025
Status: Active

Other names

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Thibodaux Regional Gastroenterology Clinic · doing business as
Thibodaux Regional Gastroenterology Clinic · doing business as

Authorized official

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

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About NPI 1659124485

Thibodaux Regional Network Development Corporation's National Provider Identifier is 1659124485, issued on Apr 10, 2024. The primary taxonomy on file is Gastroenterology Physician (207RG0100X), and the practice location is in Thibodaux, LA. The record was last updated on Jun 2, 2025.