Individual
DR. SCOTT A BORUCHOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11714 WILSON PARKE AVE STE 150, AUSTIN, TX 78726-4061
(737) 247-7200
(512) 406-7368
Mailing address
6210 E HWY 290 STE 240, AUSTIN, TX 78723-1144
(512) 483-9596
(512) 406-6216
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
236439
MA
2084N0400X
Neurology Physician
Primary
P5598
TX
390200000X
Student in an Organized Health Care Education/Training Program
236439
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
319331001
—
TX
01
—
P01331818
RRMC
TX
Enumeration date
09/12/2008
Last updated
06/14/2023
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