# DANIEL R. BOURQUE, M.D., A.P.M.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659688489
- **Authorized official:** DANIEL R. BOURQUE M.D. (PHYSICIAN)
- **Authorized official phone:** (337) 234-3344

## Contact information

- **Practice address:** 435 HEYMANN BLVD, LAFAYETTE, LA 70503-2616
- **Practice address phone:** (337) 234-3344
- **Practice address fax:** (337) 234-3352
- **Mailing address:** 435 HEYMANN BLVD, LAFAYETTE, LA 70503-2616
- **Mailing address phone:** (337) 234-3344
- **Mailing address fax:** (337) 234-3352

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 016161 | LA | Yes |

## Other

- **Enumeration date:** 08/31/2010
- **Last updated:** 06/20/2023