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:
Health care specialties
| Specialty | Code | License # | 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 3 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 | 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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