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NPI Code Detail

MEDICARE: ROBERT H BORCHARDT MD PA

MEDICARE: ROBERT H BORCHARDT MD PA
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
1207Q00000XFamily Medicine PhysicianD6954UT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1OA5899OTHERTXPTAN

General Provider Information

NPI Number : 1619205879
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROBERT H BORCHARDT MD PA
Provider Business Mailing Address
First Line : 1015 HILLCREST DR
Second Line :
City : VERNON
State : TX
Zip : 76384-3100
Country : US
Telephone Number : 940-552-5495
Fax Number : 940-552-2473
Provider Business Practice Location Address
First Line : 1015 HILLCREST DR
Second Line :
City : VERNON
State : TX
Zip : 76384-3100
Country : US
Telephone Number : 940-552-5495
Fax Number : 940-552-2473
Authorized Official
Title or Position : PRESIDENT
Name : DR. ROBERT H BORCHARDT
Credential : MD
Telephone Number : 940-552-5495
Provider Enumeration Date : 11/30/2009
Last Update Date : 03/13/2013

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Directions to “ROBERT H BORCHARDT MD PA ” Practice Location

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