NPI
Jean Louise Bourque
NPI 1770413346
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Credential
- LCDC,MS
- Type
- Individual
- Enumeration date
- 2026-05-22
- Last updated
- 2026-05-22
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Specialties
Licenses
- License TX
- 14001
Location
- Practice location
- 165 Fir Ln
- City
- Vidor TX
- Postal code
- 77662-9206
- Phone
- (903) 920-3964
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Vidor, TX. 117 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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