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Individual

KELLY V BORA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
801 7TH AVE, FORT WORTH, TX 76104-2733
(682) 885-4268
(682) 885-7956
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-6483
(682) 885-3113

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
S2242
TX
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
S2242
TX

Other

Enumeration date
04/17/2013
Last updated
11/17/2023
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