| NPI | 1396175857 |
|---|---|
| Doing Business As | THIBODAUX REGIONAL PAIN CLINIC |
| Doing Business As | THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION-PAIN MANAGEMENT |
| Entity Type | Organization |
| Authorized Contact | KIM LEGENDRE BOUDREAUX Contract Manager 985-493-4907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2013-11-20 |
| Last Update Date | 2025-06-02 |