Bourgeois, Michael

Bourgeois, Michael is an individual health care provider with primary practice located at 4102 24Th St Ste 507 , Lubbock TX 79410-1805. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Pediatric Endocrinology. Allopathic & Osteopathic Physicians / Pediatric Endocrinology is his primary health care specialty. Bourgeois, Michael can be contacted via phone (806) 743-7334.

Contact Information

Primary practice address
4102 24Th St Ste 507 Lubbock TX 79410-1805
Phone: (806) 743-7334
Fax: (806) 743-7332
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X F5842 Texas
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X F5842 Texas

Profile Details

NPI number 1457342842
LBN Legal business name Bourgeois, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Dec 3rd, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457342842 NPPES
Texas Other 460001727 RAILROAD
Texas Other A119 RAILROAD
Texas MEDICAID 138369704 RAILROAD
Texas MEDICAID V2944 RAILROAD
Texas MEDICAID 100086010B RAILROAD
Texas Other 36233 RAILROAD
Texas Other 108958105 RAILROAD
Texas MEDICAID 138369711 RAILROAD
Texas MEDICAID 36233 RAILROAD
Texas Other 89C152 RAILROAD
Texas Other 80822Z RAILROAD

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