Individual
LOREN L ROURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
18354 I-45, SUITE 300, SHENANDOAH, TX 77384
(713) 701-7165
(713) 936-5496
Mailing address
18354 I-45, SUITE 300, SHENANDOAH, TX 77384
(713) 701-7165
(713) 936-5496
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
11465
MT
2086X0206X
Surgical Oncology Physician
MD19902
ME
2086X0206X
Surgical Oncology Physician
Primary
N4049
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205095701
—
TX
05
—
205095702
—
TX
05
—
205095704
—
TX
05
—
205095705
—
TX
01
—
8FK213
BCBS
TX
01
—
8GD975
BCBS
TX
01
—
N4049
STATE LICENSE
TX
Enumeration date
06/13/2007
Last updated
03/20/2026
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