Individual
BOBBY BOURLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
7692 W ELDORADO PKWY, MCKINNEY, TX 75070-5652
(972) 562-8388
(972) 540-2219
Mailing address
7692 W ELDORADO PKWY, MCKINNEY, TX 75070-5652
(972) 562-8388
(972) 540-2219
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00552
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA00552
STATE LICENSE
TX
Enumeration date
09/11/2008
Last updated
09/11/2008
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