Individual
PEGGY BOURQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, CS, ENP
Contact information
Practice address
6411 FANNIN ST, HOUSTON, TX 77030-1501
(713) 704-4060
(713) 704-6851
Mailing address
6431 FANNIN ST # JJL270, HOUSTON, TX 77030-1501
(713) 500-3500
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
521576
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117954105
—
TX
05
—
117954106
—
TX
01
—
117954107
CSHCN
TX
01
—
8Y1601
BCBS
TX
Enumeration date
07/13/2006
Last updated
01/31/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us