NPI 1871255653
Thomas Bourland
Practice location
- Address
- 1620 S Elwood Ave, Tulsa, OK 74119-4248
- Phone
- (614) 706-1351
- Mailing address
- 714 N Birmingham Pl, Tulsa, OK 74110-5318
Registered specialties
Dental Assistant
Primary
Registry record
- NPI
- 1871255653
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 9 Oct 2021
- Record last updated
- 9 Oct 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.