THAD BOURQUE, M.D.

Urology

Active Individual
NPI: 1912093709

Practice Address

1103 KALISTE SALOOM RD
SUITE 200
Lafayette, LA 70508

Phone: (337) 988-1803

Specialties

Specialty Code Primary License
Specialist 174400000X No 021311 (LA)
Urology 208800000X Yes MD.021311 (LA)

Frequently Asked Questions

NPI 1912093709 is the National Provider Identifier for THAD BOURQUE, M.D., a Urology provider located in Lafayette, LA. This NPI was enumerated on October 5, 2006.
THAD BOURQUE, M.D. practices at 1103 KALISTE SALOOM RD, SUITE 200, Lafayette, LA 70508.

Quick Facts

NPI
1912093709
Type
Individual
Enumerated
Oct 5, 2006
Last Updated
Mar 7, 2023

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