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Contact Information

JONATHAN W BOURGEOIS, MD
1919 ROGERS RD
SUITE 104
SAN ANTONIO, TX78251
 Phone: 210-541-0700
 Fax: 210-541-6868
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for JONATHAN W BOURGEOIS · (Male)

NPI Number 1528183001
Status Active
Credentials MD
Entity Individual
Enumeration date 03/21/2007
Last updated 08/31/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • TX License # R6346
  • NJ Medicaid 3861148
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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