Individual
DR. KEITH ALAN BOURGEOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1315 ST JOSEPH PKWY, SUITE 1601, HOUSTON, TX 77002-8233
(713) 650-0391
(713) 650-0395
Mailing address
1315 ST JOSEPH PKWY, SUITE 1601, HOUSTON, TX 77002-8233
(713) 650-0391
(713) 650-0395
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
G7625
TX
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
G7625
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P085170J07
—
TX
Enumeration date
03/31/2006
Last updated
11/12/2025
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