Individual
JOHN B. BOURLAND JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15 SAINT LAURENT PL, DALLAS, TX 75225-8111
(214) 692-8897
Mailing address
15 SAINT LAURENT PL, DALLAS, TX 75225-8111
(214) 692-8897
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
D4468
TX
Other
Enumeration date
05/04/2007
Last updated
06/21/2012
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