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:
Health care specialties
| Specialty | Code | License # | 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 9 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 | 1063414134 | NPPES |
| Texas | Other | 82N381 | BCBS |
| Texas | Other | 110184080 | BCBS |
| Texas | Other | 00823K | BCBS |
| Texas | MEDICAID | 081210901 | BCBS |
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