Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MICHAEL CHARLES BOURGEOIS, CRNA
Active Sole ProprietorMR. MICHAEL CHARLES BOURGEOIS, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in MAGNOLIA, Texas. NPI 1871585901 is currently active in the NPPES registry. Verify at CMS.
Certified Nurse Anesthetist (CRNA) · MAGNOLIA, TX
Registration Details
- NPI Number
- 1871585901
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 16, 2005 (20.994222582854 yrs)
- Last Updated
- Aug 10, 2010
- Licenses
-
19119 (TX)009868L (LA)501613 (TX)RN051202 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
31003 SHERRIE LNMAGNOLIA, TX, 773545793Browse TX providers · Browse ZIP 77354
- Phone
- 2814603120
- Fax
- 2812590879
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
- Additional Specialty
- Pharmacist
- Additional Specialty
- Certified Nurse Anesthetist (CRNA)
- Additional Specialty
- Certified Nurse Anesthetist (CRNA)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.