Search › Louisiana › 208800000X
Jason Bourque, M.D
NPI 1205060175 · on the registry since 2009
Practice
- Address
- 120 Rue Louis Xiv
Lafayette, LA 70508 - Phone
- (337) 769-7779
- Organisation at this address
- Southern Urology Llc
Southern Urology, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 9
Additional practice sites
- 200 Beaullieu Dr Ste 7, Lafayette, LA
- 2401 S 31st St, Temple, TX
Registry record
- Primary taxonomy
- 208800000X
208800000X
- Also registered as
- 208800000X
208800000X - Licence states on file
- TX, LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-03-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana