Borders, Jack C

Borders, Jack C is an individual health care provider with primary practice located at 333 N Santa Rosa , San Antonio TX 78207-3108. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Otolaryngology, which is considered as his primary health care specialty. Borders, Jack C can be contacted via phone (210) 704-3030.

Contact Information

Primary practice address
333 N Santa Rosa San Antonio TX 78207-3108
Phone: (210) 704-3030
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X 039054 Georgia
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X U4672 Texas
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X 3792 Wisconsin

Profile Details

NPI number 1306800404
LBN Legal business name Borders, Jack C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Mar 14th, 2024 - about 9 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306800404 NPPES
Georgia MEDICAID 000617801F
Georgia MEDICAID 000617801B

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