J Gardiner Bourque, MD

NPI #1881854974 in Beaumont, Texas

Provider Information

NPI Number
1881854974
Entity Type
Individual
Name
J Gardiner Bourque, MD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Radiology - Diagnostic Radiology
Credential
MD
Enumeration Date
Jun 11, 2008
Last Updated
Jun 11, 2008

Practice Location

Address
3560 DELAWARE ST
Address 2
209
State
Texas
ZIP Code
77706-3067
Phone
(409) 899-3684

Specialties & Taxonomy Codes

Specialty
Radiology - Diagnostic RadiologyDiagnostic Radiology

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