Keith A. Bourgeois, M.d., P.a.

NPI #1164645685 in Houston, Texas

Provider Information

NPI Number: 1164645685
Entity Type: Organization
Organization Name: Keith A. Bourgeois, M.d., P.a.
Primary Specialty: Ophthalmology
Enumeration Date: Apr 11, 2007
Last Updated: Dec 27, 2010

Practice Location

Address: 1315 ST JOSEPH PKWY
Address 2: SUITE 1601
City: Houston
State: Texas
ZIP Code: 77002-8233
Phone: (713) 650-0391

Authorized Official

Name: DR. KEITH A BOURGEOIS, M.D.
Title: PHYSICIAN
Phone: (713) 650-0931

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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