Stacy L Bourgeois in Houston - Nurse Anesthetist, Certified Registered
Stacy L Bourgeois - NPI 1619025533
Stacy L Bourgeois is a Nurse Anesthetist, Certified Registered in Houston, Texas. Stacy L Bourgeois practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Stacy L Bourgeois is 1619025533. The last update date is 2015-06-30.
Stacy L Bourgeois's current location address is 2411 Fountain View Dr Ste 200, Houston, Texas. You can contact this provider via phone number 7136204000. The mailing address for Stacy L Bourgeois is 2411 Fountain View Dr Ste 200, Houston, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacy L Bourgeois |
|---|---|
| Address | 2411 Fountain View Dr Ste 200, Houston, Texas |
| Phone Number | 7136204000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1619025533 |
|---|---|
| Provider Enumeration Date | 2007-01-08 |
| Last Updated Date | 2015-06-30 |
Provider Mailing Address Detail
| Address | 2411 Fountain View Dr Ste 200 |
|---|---|
| City | Houston |
| State | Texas (TX) |
| Post Code | 770574832 |
| Phone Number | 7136204000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | NA3122 |
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Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 86993U | TX | BLUE CROSS BLUE SHIELD | |
| 185860701 | TX | -- | |
| P00396099 | TX | MEDICARE RAILROAD |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Stacy L Bourgeois by the Centers for Medicare & Medicaid Services?
The Stacy L Bourgeois has been assigned the NPI (National Provider Identifier) 1619025533 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Stacy L Bourgeois's physical address?
The Stacy L Bourgeois is physically located at 2411 Fountain View Dr Ste 200, in the city of Houston, TX, with the postal code 770574832.
What is Stacy L Bourgeois's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Stacy L Bourgeois is Nurse Anesthetist, Certified Registered, and the taxonomy code that categorizes this field of expertise is 367500000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1619025533 to Stacy L Bourgeois?
The Centers for Medicare & Medicaid Services originally issued the 1619025533 to Stacy L Bourgeois on 2007-01-08.
When was the information related to Stacy L Bourgeois most recently updated or refreshed?
The details pertaining to the Stacy L Bourgeois, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-06-30.