Healthcare Provider Details

I. General information

NPI: 1043125081
Provider Name (Legal Business Name): BOURGEON RESOURCES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6601 CYPRESSWOOD DR STE 227
SPRING TX
77379-7897
US

IV. Provider business mailing address

15960 KUYKENDAHL RD APT 116
HOUSTON TX
77068-3347
US

V. Phone/Fax

Practice location:
  • Phone: 346-376-1495
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: OTISHA ALIMI
Title or Position: OWNER
Credential:
Phone: 346-376-1495