Bourne, Cecil M

Bourne, Cecil M is an sole proprietor health care provider with primary practice located at 1215 Santa Fe St , Corpus Christi TX 78404-2338. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Bourne, Cecil M can be contacted via phone (361) 884-9900.

Contact Information

Primary practice address
1215 Santa Fe St Corpus Christi TX 78404-2338
Phone: (361) 884-9900
Fax: (361) 884-9903
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X D8154 Texas
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X D8154 Texas

Profile Details

NPI number 1063414134
LBN Legal business name Bourne, Cecil M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 2nd, 2005
Last updated Mar 18th, 2016 - about 10 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 1063414134 NPPES
Texas Other 82N381 BCBS
Texas Other 110184080 BCBS
Texas Other 00823K BCBS
Texas MEDICAID 081210901 BCBS

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