Individual
VIJAY BORRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
519 N LINCOLN AVE, ODESSA, TX 79761-4429
(432) 640-6446
(432) 640-6493
Mailing address
PO BOX 2129, ODESSA, TX 79760-2129
(432) 640-6446
(432) 640-6493
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
245506
NY
207X00000X
Orthopaedic Surgery Physician
Primary
N9355
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307655601
—
TX
Enumeration date
05/12/2008
Last updated
04/11/2013
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