Thad A . Bourque, M.D. Apmc in Lafayette - Specialist
Thad A . Bourque, M.D. Apmc - NPI 1598846891
Thad A . Bourque, M.D. Apmc is a Specialist in Lafayette, Louisiana. Thad A . Bourque, M.D. Apmc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Thad A . Bourque, M.D. Apmc is 1598846891. The last update date is 2007-07-26.
Thad A . Bourque, M.D. Apmc's current location address is 913 S College Rd, Lafayette, Louisiana. You can contact this provider via phone number 3372345554. The mailing address for Thad A . Bourque, M.D. Apmc is 913 S College Rd, Lafayette, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Thad A . Bourque, M.D. Apmc |
|---|---|
| Address | 913 S College Rd, Lafayette, Louisiana |
| Phone Number | 3372345554 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Bourque Alexander Thad |
| Credentials | M.D. |
| Telephone Number | 3372345554 |
NPI Number Detail
| NPI Number | 1598846891 |
|---|---|
| Provider Enumeration Date | 2006-10-17 |
| Last Updated Date | 2007-07-26 |
Provider Mailing Address Detail
| Address | 913 S College Rd |
|---|---|
| City | Lafayette |
| State | Louisiana (LA) |
| Post Code | 705033060 |
| Phone Number | 3372345554 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 21311 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the Thad A . Bourque, M.D. Apmc's 1598846891?
The Thad A . Bourque, M.D. Apmc's NPI (National Provider Identifier) Number is 1598846891. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Thad A . Bourque, M.D. Apmc?
The Thad A . Bourque, M.D. Apmc is situated at 913 S College Rd, in the city of Lafayette, state of LA, with the zip code 705033060.
What is Thad A . Bourque, M.D. Apmc's area of expertise and its corresponding taxonomy classification?
The Thad A . Bourque, M.D. Apmc's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1598846891 to Thad A . Bourque, M.D. Apmc?
The Centers for Medicare & Medicaid Services originally issued the 1598846891 to Thad A . Bourque, M.D. Apmc on 2006-10-17.
When was the information related to Thad A . Bourque, M.D. Apmc most recently updated or refreshed?
The details pertaining to the Thad A . Bourque, M.D. Apmc, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-26.