| Organization Name: | THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION |
| NPI Number: | 1083921944 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRISTINE LAROSE (DIRECTOR) |
| Mailing Address: | 1105 Audubon Ave Suite B Thibodaux |
| State: | LA US |
| Postal Code: | 703014940 |
| Phone Number: | 9854494656 |
| Fax Number: | 9854492532 |
| NPI Enumeration Date: | 09/13/2010 |
| NPI Last Update Date: | 09/13/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RR0500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Rheumatology |
| Taxonomy Definition: | An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |