Michael Bourgeois, MD | |
4102 24th St Ste 507, Lubbock, TX 79410-1805 | |
(806) 743-7334 | |
(806) 743-7332 |
Full Name | Michael Bourgeois |
---|---|
Gender | Male |
Speciality | Pediatrics - Pediatric Endocrinology |
Location | 4102 24th St Ste 507, Lubbock, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457342842 | NPI | - | NPPES |
460001727 | Other | TX | RAILROAD |
A119 | Other | NM | TRIWEST |
138369704 | Medicaid | TX | |
V2944 | Medicaid | NM | |
100086010B | Medicaid | OK | |
36233 | Other | NM | PRESBYTERIAN COMMERCIAL |
108958105 | Other | TX | FIRSTCARE COMMERCIAL |
138369711 | Medicaid | TX | |
36233 | Medicaid | NM | |
89C152 | Other | TX | BC/BS |
80822Z | Other | TX | HMO BLUE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | F5842 (Texas) | Secondary |
2080P0205X | Pediatrics - Pediatric Endocrinology | F5842 (Texas) | Primary |
Entity Name | Texas Tech University Health Sciences Center Lubbock |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063461358 PECOS PAC ID: 4385549674 Enrollment ID: O20110318000468 |
Mailing Address | Practice Location Address |
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Michael Bourgeois, MD Po Box 5865, Lubbock, TX 79408-5865 Ph: (806) 743-2898 | Michael Bourgeois, MD 4102 24th St Ste 507, Lubbock, TX 79410-1805 Ph: (806) 743-7334 |
Weerapong Lilitwat, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 602 Indiana Ave, Lubbock, TX 79415 Phone: 806-775-8813 Fax: 806-775-9182 | |
Claire Cooper, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5410 114th St, Lubbock, TX 79424 Phone: 806-853-5233 | |
Sara Al Dogom, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3601 4th St, Lubbock, TX 79430 Phone: 806-743-2669 | |
Laszlo Nagy, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4102 24th St Ste 504, Lubbock, TX 79410 Phone: 806-743-7700 Fax: 806-743-7703 | |
Dr. Jane Elizabeth Wheeler, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4617 92nd St, Lubbock, TX 79424 Phone: 806-794-0246 | |
Dr. Douglas Klepper, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7501 Quaker Ave, Lubbock, TX 79424 Phone: 806-793-7257 Fax: 806-799-1568 | |
Dr. Leopoldo Amansec Cabrera, M.D., F.A.A.P. Pediatrics Medicare: Medicare Enrolled Practice Location: 542419th St, Ste 200, Lubbock, TX 79407 Phone: 806-722-4453 Fax: 806-722-4461 |