Individual
MR. DAVID BORING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SLP
Contact information
Practice address
5609 DONNYBROOK AVE, TYLER, TX 75703-6111
(903) 962-7901
(903) 962-3082
Mailing address
1713 SAPPHIRE CAY, WHITEHOUSE, TX 75791-9564
(903) 962-7901
(903) 962-3082
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
101484
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1040066
BLUE CROSS BLUE LINK NUMB
TX
01
—
8T4719
BLUE CROSS PAR PLAN
TX
Enumeration date
09/17/2006
Last updated
07/08/2007
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