THAD A . BOURQUE, M.D. APMC

LAFAYETTE, LA
NPI1598846891
Entity TypeOrganization
Authorized ContactTHAD ALEXANDER BOURQUE
Owner
337-234-5554
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
(Licence: LA  021311)
Enumeration Date2006-10-17
Last Update Date2007-07-26
Business Address
THAD A . BOURQUE, M.D. APMC
913 S COLLEGE RD SUITE 209
LAFAYETTE, LA 70503-3060
Phone number: 337-234-5554
Mailing Address
THAD A . BOURQUE, M.D. APMC
913 S COLLEGE RD SUITE 209
LAFAYETTE, LA 70503-3060
Phone number: 337-234-5554
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