Organization
BEST BOURGEOIS ANESTHESIOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY B BOURGEOIS M.D. (ANESTHESIOLOGIST)
(281) 580-9030
Entity
Organization
Contact information
Practice address
427 W 20TH ST STE 102, HOUSTON, TX 77008-2434
(281) 580-9030
(281) 580-2725
Mailing address
2929 ALLEN PKWY STE 200, HOUSTON, TX 77019-7123
(281) 580-9030
(281) 580-2725
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
H9190
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H9190
LICENSE # H9190
TX
Enumeration date
03/09/2010
Last updated
02/08/2019
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