Bourgeois, Keith Alan
Bourgeois, Keith Alan is an individual health care provider with primary practice located at 1315 St Joseph Pkwy Suite 1601, Houston TX 77002-8233. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Bourgeois, Keith Alan can be contacted via phone (713) 650-0391.Contact Information
Primary practice address
1315 St Joseph Pkwy Suite 1601
Houston TX 77002-8233
Phone: (713) 650-0391
Fax: (713) 650-0395
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | G7625 | Texas |
Profile Details
| NPI number | 1457312183 |
|---|---|
| LBN Legal business name | Bourgeois, Keith Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2006 |
| Last updated | Jan 25th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457312183 | NPPES |
| Texas | MEDICAID | P085170J07 |
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