| NPI | 1790115772 |
|---|---|
| Doing Business As | THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION-ORTHOPAEDIC SURGERY |
| Doing Business As | THIBODAUX REGIONAL ORTHOPAEDIC LINIC |
| Entity Type | Organization |
| Authorized Contact | KIM LEGENDRE BOUDREAUX Director Of Contracting 985-493-4907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2013-11-12 |
| Last Update Date | 2023-09-05 |