Bourland Soben PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

18681 Issued in TX

Legal business name

BOURLAND SOBEN PLLC

Practice address

4601 Buffalo Gap Rd
Suite D-1
Abilene, TX 79606-3375

Phone

(325) 695-3300

Fax

(325) 695-9899

NPI assigned

Jan 6, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Bart Bourland, DDS

Title

Dentist

Phone

(325) 695-3300

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231200000000",
    "number": "1366688749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 BUFFALO GAP RD",
            "address_2": "SUITE D-1",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796063375",
            "telephone_number": "325-695-3300",
            "fax_number": "325-695-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 BUFFALO GAP RD",
            "address_2": "SUITE D-1",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796063375",
            "telephone_number": "325-695-3300",
            "fax_number": "325-695-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOURLAND SOBEN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-06",
        "last_updated": "2009-01-06",
        "status": "A",
        "authorized_official_last_name": "BOURLAND",
        "authorized_official_first_name": "BART",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "325-695-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "18681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Bonestell
• Bonner Oral Surgery, PLLC
• Bopanna Muckatira MD, PA
• Pallavi Borade, D.D.S.
• Alyssa Borger, SLP
• Dru Bart Bourland, D.D.S.
• Jessica Lauren Boutte, RN
• Amanda Bowen, SLP
• Candy Bowen, APRN, AG-ACNP-BC
• Debbie K Bowen, LPC

• Dental Clinic/Center in Abilene, TX
• Providers in Abilene, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.