Individual
LISA MARIE MEREDITH BOURBEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
11111 RESEARCH BLVD, AUSTIN, TX 78759-5264
(512) 324-6000
(512) 406-7348
Mailing address
6210 E HWY 290, AUSTIN, TX 78723-1142
(512) 483-9596
(512) 406-6216
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
U3794
TX
Other
Enumeration date
03/21/2019
Last updated
08/04/2023
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