Provider Demographics
NPI:1467587790
Name:BOQUET, MARK JAMES (MD, MPH, MS)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:JAMES
Last Name:BOQUET
Suffix:
Gender:
Credentials:MD, MPH, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4507 HIGHWAY 311
Mailing Address - Street 2:
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70360-8128
Mailing Address - Country:US
Mailing Address - Phone:985-226-1751
Mailing Address - Fax:
Practice Address - Street 1:1201 KENNETH ST
Practice Address - Street 2:
Practice Address - City:MORGAN CITY
Practice Address - State:LA
Practice Address - Zip Code:70380-1353
Practice Address - Country:US
Practice Address - Phone:985-384-3355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2025-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.200560207Q00000X, 2083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine