Provider Demographics
NPI:1073571303
Name:BORING, BILLY R JR (MD)
Entity Type:Individual
Prefix:MR
First Name:BILLY
Middle Name:R
Last Name:BORING
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:1441 REDBUD BLVD
Mailing Address - Street 2:STE 111
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069
Mailing Address - Country:US
Mailing Address - Phone:972-542-2683
Mailing Address - Fax:972-548-7657
Practice Address - Street 1:1441 REDBUD BLVD
Practice Address - Street 2:STE 111
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069
Practice Address - Country:US
Practice Address - Phone:972-542-2683
Practice Address - Fax:972-548-7657
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-03
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
TXH0194207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00A49KOtherBLUE CROSS BLUE SHIELD
TX00A49KOtherBLUE CROSS BLUE SHIELD
B21394Medicare UPIN