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Search › Louisiana › 208800000X

Thad Bourque, MD

NPI 1912093709 · on the registry since 2006

Practice

Address
120 Rue Louis Xiv, Bldg 2
Lafayette, LA 70508
Phone
(337) 233-6665
Fax
(337) 534-0179
Organisation at this address
Southern Urology Llc
Southern Urology, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
208800000X
208800000X
Also registered as
174400000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-04-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana