location
search-icon
person
Thad Alexander Bourque, MD
Urology Physician in Lafayette, Louisiana
NPI 1912093709

Thad Alexander Bourque is a Urology Physician based in Lafayette, LA. Thad Alexander Bourque practices in Lafayette, LA and has the professional credentials of MD. The NPI Number for Thad Alexander Bourque is 1912093709 and holds a License No. 021311 (Louisiana).

The current practice location address for Thad Alexander Bourque is 1103 Kaliste Saloom Rd, Lafayette, LA and can be reached out via phone at 337-988-1803 and via fax at 337-988-1805. You can also correspond with Thad Alexander Bourque through the mailing address at 120 RUE LOUIS XIV, LAFAYETTE, LA - 70508-5783 (mailing address contact number: 337-769-7779).

Location: 1103 Kaliste Saloom Rd, Lafayette, LA, 70508-5783
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912093709
Provider Name
Thad Alexander Bourque
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1103 Kaliste Saloom Rd, Lafayette, LA, 70508-5783
Phone Number
337-988-1803
Fax Number
337-988-1805
Provider Enumeration Date
10/05/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
C5115 01 LA BLUE CROSS BLUE SHIELD
1680974 05 LA
institution
Provider Business Practice Location Address Details
Address
1103 Kaliste Saloom Rd
City
Lafayette
State
Louisiana
Zip
70508-5783
Phone Number
337-988-1803
Fax Number
337-988-1805
person
Provider Business Mailing Address Details
Address
1103 Kaliste Saloom Rd
City
Lafayette
State
Louisiana
Zip
70508-5783
Phone Number
337-988-1803
Fax Number
337-988-1805
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MD.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.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
021311 (Louisiana)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.