Individual provider · Type 1 NPI

Thad Alexander Bourque, MD

Urology Physician · Lafayette, LA

NPI number 1912093709 Active

Practice location

120 Rue Louis Xiv, Bldg 2
Lafayette, LA 70508-5783

Fax (337) 534-0179

Specialties and licenses

TaxonomyCodeLicense
Specialist 174400000X021311 (LA)
Urology Physician Primary 208800000XMD.021311 (LA)

Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

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About NPI 1912093709

Thad Alexander Bourque, MD's National Provider Identifier is 1912093709, issued on Oct 5, 2006. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Lafayette, LA. The record was last updated on Apr 15, 2026.