Thibodaux Regional Network Development Corporation
Thibodaux Regional Network Development Corporation is a Plastic and Reconstructive Surgery Physician in Thibodaux, Louisiana. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
608 N Acadia Rd Ste 3BThibodaux, LA 70301-4847
Phone: (985) 493-4490
Fax: (985) 493-4491
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Plastic and Reconstructive Surgery Physician (primary) | Taxonomy 2086S0122X |
|---|
Record details
| NPI number | 1003430257 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kim Boudreaux — Contract Manager · (985) 493-4907 |
| Other names | Thibodaux Regional Plastic & Reconstructive Surgery Clinic; Thibodaux Regional Plastic & Reconstructive Surgery Clinic |
| NPI enumerated | June 3, 2020 |
| Last updated in NPPES | June 2, 2025 |
| Certification date | June 2, 2025 |
| Mailing address | Po Box 5478, Thibodaux, LA 70302-5478 |