J Gardiner Bourque, MD
Diagnostic Radiology Physician · Beaumont, TX
Practice location
3560 Delaware St209
Beaumont, TX 77706-3067
- Phone
- (409) 899-3684
NPI record
- NPI
- 1881854974
- Entity type
- Individual (Type 1)
- Enumeration date
- June 11, 2008
- Last updated
- June 11, 2008
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X |
D1969 | TX |
About Dr. Bourque
J Gardiner Bourque, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Diagnostic Radiology Physician (code 2085R0202X). The practice location is 3560 Delaware St, 209, Beaumont, TX 77706-3067. The NPI number 1881854974 was assigned on June 11, 2008 and the record was last updated on June 11, 2008.
Dr. Bourque lists a license in the registry: #D1969 (TX) for Diagnostic Radiology Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of J Gardiner Bourque, MD?
The NPI number is 1881854974.
What is the phone number of Dr. Bourque?
The phone number listed for the practice location is (409) 899-3684.
Where is Dr. Bourque located?
3560 Delaware St, 209, Beaumont, TX 77706-3067.
What is the taxonomy code for Dr. Bourque?
The primary taxonomy code is 2085R0202X – Diagnostic Radiology Physician.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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