OrganizationActive
Thibodaux Regional Network Development Corporation
NPI 1770435851 · Clinical Cardiac Electrophysiology Physician · Thibodaux, LA
Provider details
- NPI number
- 1770435851
- Entity type
- Organization
- Primary specialty
- Clinical Cardiac Electrophysiology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Thibodaux Regional Network Development Corporation
- Organization subpart
- Yes
- Authorized official
- Kim Boudreaux, Director of Contracting(985) 493-4907
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
602 N Acadia Rd
Ste 101b
Thibodaux, LA 70301
Phone: (985) 493-4938
Fax: (985) 449-2547
Approximate (ZIP-level) locationGet directions
Mailing address
602 N Acadia Rd
Thibodaux, LA 70301
Registry dates
- Enumerated
- 2026-02-11
- Last updated
- 2026-02-11
- Certified
- 2026-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.