Michael Bourgeois
M.D. | Pediatric Endocrinology | Male
Michael Bourgeois, M.D. is a Lubbock, Texas based Pediatric doctor with medical specialization in
Pediatric Endocrinology.
Current practice location of Michael Bourgeois is
4102 24th St Ste 507, Lubbock, Texas - 79410-1805. He can be contacted on phone at
806-743-7334 and fax number 806-743-7332.
Michael Bourgeois is a sole proprietor of his business.
NPI number (Unique professional ID) for Michael Bourgeois is
1457342842 which was assigned by NPPES on 03 Nov, 2005 and it was last updated on 03 Dec, 2021.
Michael Bourgeois license number is
F5842 for Pediatrics Pediatric Endocrinology (2080P0205X) in Texas.
Michael Bourgeois provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
Complete Profile:
Michael Bourgeois basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Endocrinology |
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| Provider Name : | Michael Bourgeois |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Michael Bourgeois address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 4102 24th St Ste 507
Lubbock, TX, 79410-1805
United States |
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| Phone Number : | 806-743-7334 |
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| Fax Number : | 806-743-7332 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1457342842 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 03 Nov, 2005 |
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| Last Updated On : | 03 Dec, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Michael Bourgeois are as mentioned. Primary taxonomy code for Michael Bourgeois, M.D. is
2080P0205X (Pediatrics Pediatric Endocrinology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208M00000X | Hospitalist | No | F5842 | TX |
| 2080P0205X | Pediatrics Pediatric Endocrinology | Yes | F5842 | TX |
Legacy Identifiers:
Other legacy medical identifiers of Michael Bourgeois such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 80822Z | Other | TX | HMO BLUE |
| 138369704 | MEDICAID | TX | |
| 36233 | MEDICAID | NM | |
| A119 | Other | NM | TRIWEST |
| V2944 | MEDICAID | NM | |
| 138369711 | MEDICAID | TX | |
| 460001727 | Other | TX | RAILROAD |
| 100086010B | MEDICAID | OK | |
| 108958105 | Other | TX | FIRSTCARE COMMERCIAL |
| 36233 | Other | NM | PRESBYTERIAN COMMERCIAL |
| 89C152 | Other | TX | BC/BS |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
3601 4TH ST,
LUBBOCK, TX, 79430-0002
United States | LUBBOCK, TX | 806-743-7337 |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | michael.bourgeois@direct.myteamcare.com
| No affiliation |
|
| 3601 4TH ST,
LUBBOCK, TX, 79430-0002
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 5865
Lubbock, TX, 79408-5865
United States |
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| Phone Number : | 806-743-2898 |
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| Fax Number : | 806-743-2787 |
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Business Location:
Patients can refer following map for directions to
Michael Bourgeois practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.