Individual
DR. THOMAS LOUIS BOROK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5004 SPYGLASS DRIVE, DALLAS, TX 75287-7429
(972) 931-1073
(972) 931-1073
Mailing address
PO BOX 702806, DALLAS, TX 75370-2806
(972) 931-1073
(972) 931-1073
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
01053626A
IN
2085R0001X
Radiation Oncology Physician
10480
MT
2085R0001X
Radiation Oncology Physician
31879
GA
2085R0001X
Radiation Oncology Physician
41983-020
WI
2085R0001X
Radiation Oncology Physician
41983020
WI
2085R0001X
Radiation Oncology Physician
Primary
F8420
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
897859945
IMP
—
05
—
PO8820196
—
TX
Enumeration date
11/29/2006
Last updated
12/14/2009
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