Individual
DR. JOHN BOURAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2705 HOSPITAL DR, SUITE 206, VICTORIA, TX 77901-5775
(361) 574-1899
Mailing address
2705 HOSPITAL DR, SUITE 206, VICTORIA, TX 77901-5775
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
M5069
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629251012
NPI GROUP
—
Enumeration date
02/12/2007
Last updated
09/18/2008
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