Individual provider · Type 1 NPI
Gay Gele' Bourgeois, RPSGT, CCSH, RST
Sleep Disorder Diagnostic Clinic/Center · Lafayette, LA
NPI number
1104413004
Active
Practice location
100 Asma Blvd Ste 205
Lafayette, LA 70508-3842
Fax (337) 289-5609
Mailing address
1036 Gleaux Dr
Breaux Bridge, LA 70517-3200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Other Specialist/Technologist | 246Z00000X | None listed |
| Sleep Disorder Diagnostic Clinic/Center Primary | 261QS1200X | POLY.000176 (LA) |
Sleep Disorder Diagnostic Clinic/Center: Definition to come...
2 other providers at this address
About NPI 1104413004
Gay Gele' Bourgeois, RPSGT, CCSH, RST's National Provider Identifier is 1104413004, issued on Dec 25, 2020. The primary taxonomy on file is Sleep Disorder Diagnostic Clinic/Center (261QS1200X), and the practice location is in Lafayette, LA. The record was last updated on Dec 25, 2020.