OrganizationActive
Thibodaux Regional Network Development Corporation
NPI 1003430257 · Plastic and Reconstructive Surgery Physician · Thibodaux, LA
Provider details
- NPI number
- 1003430257
- Entity type
- Organization
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kim Boudreaux, Contract Manager(985) 493-4907
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
608 N Acadia Rd
Ste 3b
Thibodaux, LA 70301-4847
Phone: (985) 493-4490
Fax: (985) 493-4491
Street-level locationGet directions
Mailing address
Po Box 5478
Thibodaux, LA 70302-5478
Other names (DBA / former)
- Doing business as
- Thibodaux Regional Plastic & Reconstructive Surgery Clinic
- Doing business as
- Thibodaux Regional Plastic & Reconstructive Surgery Clinic
Registry dates
- Enumerated
- 2020-06-03
- Last updated
- 2025-06-02
- Certified
- 2025-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.