IndividualActive
Chester Boudreaux, MD
NPI 1073502472 · General Practice Physician · Thibodaux, LA
Provider details
- NPI number
- 1073502472
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 022212 (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
142 Rue Marguerite
Thibodaux, LA 70301-6738
Phone: (985) 446-2131
Fax: (985) 447-3383
Approximate (ZIP-level) locationGet directions
Mailing address
142 Rue Marguerite
Thibodaux, LA 70301-6738
Registry dates
- Enumerated
- 2005-10-18
- Last updated
- 2025-04-03
- Certified
- 2025-04-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.