Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALEXIS J BOURAS, PA-C
Active Sole ProprietorALEXIS J BOURAS, PA-C is a Physician Assistant healthcare provider located in KIRKWOOD, Missouri. NPI 1851043145 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · KIRKWOOD, MO
Registration Details
- NPI Number
- 1851043145
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 19, 2022 (4.6074508463292 yrs)
- Last Updated
- Mar 8, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
816 S KIRKWOOD RD STE 100KIRKWOOD, MO, 631226056Browse MO providers · Browse ZIP 63122
- Phone
- 3146864990
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in KIRKWOOD, MO
| Name | Credential | NPI |
|---|---|---|
| MARIAH WALTERS | PA-C | 1568311041 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.