GLEB G BOURIANOFF

PARIS, TX
NPI1477632867
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: TX  D6955)
Enumeration Date2006-11-04
Last Update Date2007-07-08
Business Address
-- GLEB G BOURIANOFF MD
820 CLARKSVILLE ST
PARIS, TX 75460-6027
Phone number: 800-893-9698
Mailing Address
-- GLEB G BOURIANOFF MD
200 CORPORATE BLVD SUITE 201
LAFAYETTE, LA 70508-3870
Phone number: