Active NPI
John M. Bouras, MD, PA
- Psychiatry Physician
- Victoria, TX
National Provider Identifier
1629251012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- M5069
- Legal business name
- JOHN M. BOURAS, MD, PA
- Practice address
- 2705 Hospital Dr
Ste 206
Victoria, TX 77901-5775 - Phone
- (361) 574-1899
- NPI assigned
- Dec 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bouras John
- Title
- President
- Phone
- (361) 574-1899
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | M5069 | TX | Primary |
Addresses
Primary practice location
2705 Hospital Dr
Ste 206
Victoria, TX 77901-5775
Mailing address
2705 Hospital Dr
Ste 206
Victoria, TX 77901-5775
Phone (361) 574-1899
National Provider Directory
National Provider DirectoryLocations
2710 Hospital Dr
Ste 206
Victoria, TX 77901
Phone (361) 574-1899
2705 Hospital Dr
Ste 206
Victoria, TX 77901
Phone (361) 574-1899
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Therapeutic Radiology Physician
- Victoria, TX
- NPI 1093894198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197158400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1221696000000",
"number": "1629251012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2705 HOSPITAL DR",
"address_2": "STE 206",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779015775",
"telephone_number": "361-574-1899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2705 HOSPITAL DR",
"address_2": "STE 206",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779015775",
"telephone_number": "361-574-1899"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN M. BOURAS, MD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-09",
"last_updated": "2008-09-18",
"status": "A",
"authorized_official_last_name": "JOHN",
"authorized_official_first_name": "BOURAS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "361-574-1899"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "M5069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Victoria, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.