OrganizationActive
Kelly Bourgeois M.D.
NPI 1679617757 · Anesthesiology Physician · Houston, TX
Provider details
- NPI number
- 1679617757
- Entity type
- Organization
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Irene Fontenot, Administrator(281) 580-9030
- License
- H9190 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
427 West 20th #102
Houston, TX 77008
Phone: (281) 580-9030
Fax: (281) 580-2725
Street-level locationGet directions
Mailing address
Po Box 73265
Houston, TX 77273-3265
Registry dates
- Enumerated
- 2007-02-20
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.