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1790101624
PAUL B BOURLAND
IRVING, TX
NPI
1790101624
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 593693)
Enumeration Date
2014-03-17
Last Update Date
2020-08-26
Business Address
PAUL B BOURLAND NP-C
4545 FULLER DR STE 325
IRVING, TX 75038-6530
Phone number: 972-870-5511
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Mailing Address
PAUL B BOURLAND NP-C
6900 HARRIS PKWY SUITE 300
FT WORTH, TX 76132-4255
Phone number: 817-292-8585
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