Individual provider · Type 1 NPI
Keith Alan Bourgeois, MD
Retina Specialist (Ophthalmology) Physician · Houston, TX
NPI number
1457312183
Active
Practice location
1315 St Joseph Pkwy, Suite 1601
Houston, TX 77002-8233
Fax (713) 650-0395
Other practice locations
- 5656 Kelley St, Houston, TX 77026-1967 · (713) 566-5100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology Physician | 207W00000X | G7625 (TX) |
| Retina Specialist (Ophthalmology) Physician Primary | 207WX0107X | G7625 (TX) |
Retina Specialist (Ophthalmology) Physician: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
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About NPI 1457312183
Keith Alan Bourgeois, MD's National Provider Identifier is 1457312183, issued on Mar 31, 2006. The primary taxonomy on file is Retina Specialist (Ophthalmology) Physician (207WX0107X), and the practice location is in Houston, TX. The record was last updated on Jul 31, 2026.