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Thad A . Bourque, M.d. Apmc
Specialist in Lafayette, Louisiana
NPI 1598846891

Thad A . Bourque, M.d. Apmc is a Specialist based in Lafayette, LA. Thad A . Bourque, M.d. Apmc practices in Lafayette, LA. The NPI Number for Thad A . Bourque, M.d. Apmc is 1598846891 and holds a License No. 021311 (Louisiana).

The current practice location address for Thad A . Bourque, M.d. Apmc is 913 S College Rd, Lafayette, LA and can be reached out via phone at 337-234-5554.

Location: 913 S College Rd, Lafayette, LA, 70503-3060
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1598846891
Provider Name
Thad A . Bourque, M.d. Apmc
Credential
Provider Entity Type
Organization
Address
913 S College Rd, Lafayette, LA, 70503-3060
Phone Number
337-234-5554
Fax Number
Provider Enumeration Date
10/17/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
913 S College Rd
City
Lafayette
State
Louisiana
Zip
70503-3060
Phone Number
337-234-5554
Fax Number
person
Provider Business Mailing Address Details
Address
913 S College Rd
City
Lafayette
State
Louisiana
Zip
70503-3060
Phone Number
337-234-5554
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
021311 (Louisiana)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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