Thibodaux Regional Network Development Corporation
Specialty details in registry · Thibodaux, LA
At a glance
290 Bowie Rd, Thibodaux, LA 70301-6712
NPPES record updated Jun 2, 2025. Public records can lag behind changes at a practice.
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Practice location
290 Bowie Rd Ste AThibodaux, LA 70301-6712
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 2083P0011X
- Enumeration date
- May 1, 2024
- Record updated
- Jun 2, 2025
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
Specialty details in registry
163WW0000X
Family Medicine
207Q00000X
Specialty details in registry
208100000X
Specialty details in registry
2083P0011X · Primary
Specialty details in registry
213ES0103X
Specialty details in registry
261QP1100X
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
290 Bowie RdSte A
Thibodaux, LA 70301-6712
- Phone
- (985) 493-4990
Mailing address
602 N ACADIA RDACCOUNTING BLDG
THIBODAUX, LA 70301
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