Thad Alexander Bourque M.D.

  • NPI 1912093709
According to our database, the NPI number for Thad Alexander Bourque M.D. is 1912093709 and activated since 17 years ago. Thad Alexander Bourque M.D. is an individual provider who specializes in Specialist, and the primary practice location is 1103 Kaliste Saloom Rd, Lafayette, LA 70508. You can also contact Thad Alexander Bourque M.D. via telephone number is (337) 988-1803. Provider NPI information was last updated on 06/29/2017.

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Overview of Thad Alexander Bourque M.D.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 10/05/2006
  • Last updated: 06/29/2017

Primary Scrop of Practice

  • Taxonomy Code: 174400000X
  • Specialty: Specialist
  • License Number: 021311
  • License State: LA

Provider Mailing Address

  • Address: 120 Rue Louis Xiv
    Lafayette, LA 70508
  • Phone: 337-769-7779
  • Fax: 337-769-7800

Provider Practice Location

  • Address: 1103 Kaliste Saloom Rd
    Suite 200
    Lafayette, LA 70508
  • Phone: 337-988-1803
  • Fax: 337-988-1805

Scope of Practice

  • Taxonomy Code: 174400000X
  • Specialty: Specialist
  • License Number: 021311
  • License State: LA
  • Switch: No

Legacy Identifiers

  • Provider Identifier: 1680974
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: LA
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Thad Alexander Bourque M.D.?
  • A: The npi number for Thad Alexander Bourque M.D. is 1912093709.
  • Q: What are Thad Alexander Bourque M.D.'s specialties?
  • A: Thad Alexander Bourque M.D.'s specialties are Specialist and different specialities.
  • Q: What is the medical license for Thad Alexander Bourque M.D.?
  • A: The medical license number for Thad Alexander Bourque M.D. is 021311 and issued in LA in USA.
  • Q: Where is Thad Alexander Bourque M.D. practice location?
  • A: Thad Alexander Bourque M.D. is practicing at 1103 Kaliste Saloom Rd, Lafayette, LA 70508.
  • Q: How to contact Thad Alexander Bourque M.D.?
  • A: You can contact Thad Alexander Bourque M.D. via 337-988-1803.