Thibodaux Regional Network Development Corporation

NPI #1003430257 in Thibodaux, Louisiana

Provider Information

NPI Number
1003430257
Entity Type
Organization
Organization Name
Thibodaux Regional Network Development Corporation
Primary Specialty
Surgery - Plastic and Reconstructive Surgery
Enumeration Date
Jun 3, 2020
Last Updated
Jun 2, 2025

Practice Location

Address
608 N ACADIA RD
Address 2
STE 3B
ZIP Code
70301-4847
Phone
(985) 493-4490

Authorized Official

Name
KIM LEGENDRE BOUDREAUX
Title
CONTRACT MANAGER
Phone
(985) 493-4907

Specialties & Taxonomy Codes

Specialty
Surgery - Plastic and Reconstructive SurgeryPlastic and Reconstructive Surgery

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