Individual provider · Type 1 NPI

J Gardiner Bourque, MD

Diagnostic Radiology Physician · Beaumont, TX

NPI number 1881854974 Active

Practice location

3560 Delaware St, 209
Beaumont, TX 77706-3067

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XD1969 (TX)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1881854974

J Gardiner Bourque, MD's National Provider Identifier is 1881854974, issued on Jun 11, 2008. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Beaumont, TX. The record was last updated on Jun 11, 2008.