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Individual

CAROL B BOREN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
109 S PARK DR, BROWNWOOD, TX 76801-5917
(325) 646-9956
(325) 641-1010
Mailing address
PO BOX 610, 109 SOUTHPARK DRIVE, BROWNWOOD, TX 76804-0610
(325) 646-9956
(325) 641-1010

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
K2310
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
K2310
MEDICAL LICENSE
TX
Enumeration date
06/12/2006
Last updated
07/08/2007
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