MEDICARE: STARR BORDEN MD

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
1	207Q00000X	Family Medicine Physician	F2176	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	0042QC	OTHER	TX	BCBS GROUP
3	8CS830	OTHER	TX	BCBS INDIVIDUAL

General Provider Information

NPI Number	:	1730164153
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STARR BORDEN MD

Provider Business Mailing Address
First Line	:	6363 SAN FELIPE ST
Second Line	:	STE 150
City	:	HOUSTON
State	:	TX
Zip	:	77057-2708
Country	:	US
Telephone Number	:	713-972-8900
Fax Number	:	888-876-4946

Provider Business Practice Location Address
First Line	:	6363 SAN FELIPE ST
Second Line	:	STE 150
City	:	HOUSTON
State	:	TX
Zip	:	77057-2708
Country	:	US
Telephone Number	:	713-972-8900
Fax Number	:	888-876-4946

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2005
Last Update Date	:	04/05/2011

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Directions to “ STARR BORDEN MD” Practice Location

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