DR. OTIS BOURG JR., O. D.

Optometrist

Active Individual
NPI: 1114009313

Practice Address

832 BELANGER ST
Houma, LA 70360

Phone: (985) 872-1494

Specialties

Specialty Code Primary License
Optometrist 152W00000X Yes LA666265T (LA)

Frequently Asked Questions

NPI 1114009313 is the National Provider Identifier for DR. OTIS BOURG JR., O. D., a Optometrist provider located in Houma, LA. This NPI was enumerated on October 19, 2006.
DR. OTIS BOURG JR., O. D. practices at 832 BELANGER ST, Houma, LA 70360.

Quick Facts

NPI
1114009313
Type
Individual
Enumerated
Oct 19, 2006
Last Updated
Mar 11, 2009

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