NPI 1003430257

Thibodaux Regional Network Development Corporation

Organisation Plastic and Reconstructive Surgery Physician Thibodaux, LA

Practice location

Address: 608 N Acadia Rd STE 3b, Thibodaux, LA 70301-4847
Phone: (985) 493-4490
Fax: (985) 493-4491
Mailing address: PO Box 5478, Thibodaux, LA 70302-5478

Authorised official

Name: Kim Legendre Boudreaux
Title: Contract Manager
Phone: (985) 493-4907

Registered specialties

Plastic and Reconstructive Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2086S0122X

Other Surgery providers in Louisiana →

Registry record

NPI: 1003430257
Entity type: Organization
NPI issued: 3 Jun 2020
Record last updated: 2 Jun 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.