Mr Lynn Bourdon, MD is a
Family Medicine physician based in Daingerfield, Texas. Mr Lynn Bourdon is licensed to practice in Texas (license number C8905) and his current practice location is 200 W Scurry St Ste A, Daingerfield, Texas. He can be reached at his office (for appointments etc.) via phone at
(903) 645-2044.
NPI number for Mr Lynn Bourdon is 1376548180 and his current mailing address is 1100 Mockingbird Ln, Longview, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1376548180.
Physician's Profile
| Full Name | Mr Lynn Bourdon |
|---|
| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 200 W Scurry St Ste A, Daingerfield, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1376548180
- Provider Enumeration Date: 06/17/2005
- Last Update Date: 05/07/2013
Medical Identifiers
Medical identifiers for Mr Lynn Bourdon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376548180 | NPI | - | NPPES |
| 135593511 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | C8905 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Lynn Bourdon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Lynn Bourdon, MD
1100 Mockingbird Ln,
Longview, TX 75601-3556
Ph: (903) 236-3323 | Mr Lynn Bourdon, MD
200 W Scurry St Ste A,
Daingerfield, TX 75638-1634
Ph: (903) 645-2044 |
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