Individual
DR. RENUKA BORRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
301 N WASHINGTON AVE, ODESSA, TX 79761-5413
(432) 355-8275
(432) 334-0687
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 437-9605
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
L4257
TX
207RX0202X
Medical Oncology Physician
L4257
TX
207RX0202X
Medical Oncology Physician
MD2005-0299
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8R1400
BLUE CROSS OF TEXAS
TX
Enumeration date
06/12/2006
Last updated
02/18/2008
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