Thibodaux Regional Pediatric Clinic

LBN: Thibodaux Regional Network Development Corporation
Thibodaux Regional Pediatric Clinic is an health care organization with primary practice located at 604 N Acadia Rd Ste 100 , Thibodaux LA 70301-4897. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Thibodaux Regional Network Development Corporation can be contacted via phone (985) 447-9045, or through Boudreaux, Kim Legendre via phone (985) 493-4907.

Contact Information

Primary practice address
604 N Acadia Rd Ste 100 Thibodaux LA 70301-4897
Phone: (985) 447-9045
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Boudreaux, Kim Legendre
Phone: (985) 493-4907

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X

Profile Details

NPI number 1447854294
LBN Legal business name Thibodaux Regional Network Development Corporation
DBA Doing business as Thibodaux Regional Pediatric Clinic
Authorized official Boudreaux, Kim Legendre
Entity Organization
Organization subpart 1 No
Enumeration date Nov 23rd, 2020
Last updated Mar 20th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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