Gleb G Bourianoff, MD is a
Emergency Medicine physician based in Paris, Texas. Gleb G Bourianoff is licensed to practice in Texas (license number D6955) and his current practice location is 820 Clarksville St, Paris, Texas. He can be reached at his office (for appointments etc.) via phone at
(800) 893-9698.
NPI number for Gleb G Bourianoff is 1477632867 and his current mailing address is 200 Corporate Blvd, Suite 201, Lafayette, Louisiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1477632867.
Physician's Profile
Full Name | Gleb G Bourianoff |
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Gender | Male |
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Speciality | Emergency Medicine |
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Location | 820 Clarksville St, Paris, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1477632867
- Provider Enumeration Date: 11/04/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Gleb G Bourianoff such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477632867 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | D6955 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gleb G Bourianoff is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Gleb G Bourianoff, MD 200 Corporate Blvd, Suite 201, Lafayette, LA 70508-3870 Ph: () - | Gleb G Bourianoff, MD 820 Clarksville St, Paris, TX 75460-6027 Ph: (800) 893-9698 |
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