Healthcare Provider Details

I. General information

NPI: 1548052996
Provider Name (Legal Business Name): BORER MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2025
Last Update Date: 05/21/2025
Certification Date: 05/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1310 WONDER WORLD DR STE 115
SAN MARCOS TX
78666-8351
US

IV. Provider business mailing address

1310 WONDER WORLD DR STE 115
SAN MARCOS TX
78666-8351
US

V. Phone/Fax

Practice location:
  • Phone: 512-878-4203
  • Fax: 512-878-4209
Mailing address:
  • Phone: 512-878-4203
  • Fax: 512-878-4209

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DRAKE BORER
Title or Position: OWNER
Credential: MD
Phone: 512-878-4203