| NPI | 1043836166 |
|---|---|
| Doing Business As | THIBODAUX REGIONAL FOOT & ANKLE CENTER |
| Entity Type | Organization |
| Authorized Contact | KIM LEGENDRE BOUDREAUX Contract Manager 985-493-4907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 261QP1100X Clinic/Center, Podiatric |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2025-06-02 |