Individual
TREVOR BOUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5000 LONG PRAIRIE RD, FLOWER MOUND, TX 75028-2796
(972) 440-1776
(214) 222-6660
Mailing address
5000 LONG PRAIRIE RD, FLOWER MOUND, TX 75028-2796
(972) 440-1776
(214) 222-6660
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
V6879
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
V6879
TX
Other
Enumeration date
06/11/2019
Last updated
08/12/2025
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