Healthcare Provider Details

I. General information

NPI: 1083713101
Provider Name (Legal Business Name): LOUISIANA EAR, NOSE, & THROAT SPECIALISTS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

604 N ACADIA RD STE 101
THIBODAUX LA
70301-4847
US

IV. Provider business mailing address

604 N ACADIA RD STE 101
THIBODAUX LA
70301-4847
US

V. Phone/Fax

Practice location:
  • Phone: 985-446-5079
  • Fax: 985-447-2497
Mailing address:
  • Phone: 985-446-5079
  • Fax: 985-447-2497

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PAUL T. GAUDET
Title or Position: PRESIDENT
Credential: M.D.
Phone: 985-446-5079