OrganizationActive
Thibodaux Regional Network Development Corporation
NPI 1780573329 · Critical Care Medicine (Internal Medicine) Physician · Thibodaux, LA
Provider details
- NPI number
- 1780573329
- Entity type
- Organization
- Primary specialty
- Critical Care Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kim Boudreaux, Director of Contracting(985) 493-4907
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pulmonary Disease Physician207RP1001X
Allopathic & Osteopathic Physicians
Physician Assistants & Advanced Practice Nursing Providers
Practice location
602 N Acadia Rd
Thibodaux Regional Critical Care
Thibodaux, LA 70301-4823
Phone: (985) 447-5500
Fax: (985) 446-5033
Approximate (ZIP-level) locationGet directions
Mailing address
602 N Acadia Rd
Thibodaux, LA 70301-4823
Other names (DBA / former)
- Doing business as
- Thibodaux Regional Critical Care
Registry dates
- Enumerated
- 2025-06-30
- Last updated
- 2025-06-30
- Certified
- 2025-06-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.