THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION
NPI 1003430257
Surgery - Plastic and Reconstructive Surgery in Thibodaux, LA

Active since June 03, 2020
608 N ACADIA RD, STE 3B, THIBODAUX, LA 70301(985) 493-4490(985) 493-4491 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 2, 2025, May 9, 2025, Aug 21, 2023 and 2 more (5 updates tracked since 2020).

About Thibodaux Regional Network Development Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION (NPI 1003430257), doing business as Thibodaux Regional Plastic & Reconstructive Surgery Clinic, is a healthcare organization registered as a plastic and reconstructive surgery in Thibodaux, Louisiana and active in the NPI registry since June 2020. The organization lists Kim Legendre Boudreaux, Contract Manager, as its authorized official.

NPPES Registry Identity

NPI1003430257
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameTHIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION
Location Address608 N ACADIA RD, STE 3BThibodaux, LA 70301-4847
Mailing AddressPo Box 5478Thibodaux, LA 70302-5478 · (985) 493-4907 · Fax (984) 449-2585
Fax(985) 493-4491
Organization SubpartNo
Authorized OfficialKim Legendre BoudreauxContract Manager · (985) 493-4907
Enumeration DateJune 3, 2020
Last NPPES UpdateJune 2, 20255 updates tracked since enumeration
NPPES CertifiedJune 2, 2025
NPI 1003430257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Definition

A surgeon who specializes in plastic and reconstructive surgery.

608 N ACADIA RD, Thibodaux, LA 70301

Other Names 1

Doing Business AsThibodaux Regional Plastic & Reconstructive Surgery Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Oncology)
608 N ACADIA RD
THIBODAUX, LA 70301
Radiology (Radiation Oncology)
608 N ACADIA RD
THIBODAUX, LA 70301
Internal Medicine (Hematology & Oncology)
608 N ACADIA RD, FL 3
THIBODAUX, LA 70301
Internal Medicine (Hematology & Oncology)
608 N ACADIA RD
THIBODAUX, LA 70301
Radiology (Radiation Oncology)
608 N ACADIA RD
THIBODAUX, LA 70301
Internal Medicine (Hematology & Oncology)
608 N ACADIA RD
THIBODAUX, LA 70301
Registered Nurse (Oncology)
608 N ACADIA RD
THIBODAUX, LA 70301
Radiology (Radiation Oncology)
608 N ACADIA RD, FL 1
THIBODAUX, LA 70301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thibodaux Regional Network Development Corporation's NPI number?

The NPI number for Thibodaux Regional Network Development Corporation is 1003430257. It was assigned to this organization in the NPPES registry on June 3, 2020. The provider is doing business as Thibodaux Regional Plastic & Reconstructive Surgery Clinic.

Where is Thibodaux Regional Network Development Corporation located?

Thibodaux Regional Network Development Corporation is located at 608 N Acadia Rd Ste 3B, Thibodaux, LA 70301. The listed phone number is (985) 493-4490.

What is Thibodaux Regional Network Development Corporation's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

When was this NPI record last updated?

The NPPES record for Thibodaux Regional Network Development Corporation was last updated on June 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.