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NPI Code Detail

MEDICARE: BRADLEY BOROWSKI PA-C

MEDICARE: BRADLEY BOROWSKI PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA18079TX

General Provider Information

NPI Number : 1073375564
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRADLEY BOROWSKI PA-C
Provider Business Mailing Address
First Line : 1201 W 38TH ST
Second Line :
City : AUSTIN
State : TX
Zip : 78705-1006
Country : US
Telephone Number : 512-324-3028
Fax Number : 512-324-3454
Provider Business Practice Location Address
First Line : 1201 W 38TH ST
Second Line :
City : AUSTIN
State : TX
Zip : 78705-1006
Country : US
Telephone Number : 512-324-3028
Fax Number : 512-324-3454
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2024
Last Update Date : 05/28/2026

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Directions to “ BRADLEY BOROWSKI PA-C” Practice Location

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