Individual
ANTHONY S BORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
730 N HOUSTON AVE, NEW BRAUNFELS, TX 78130-4132
(830) 620-5393
(830) 620-5316
Mailing address
919 HIDDEN RDG, FLOOR 6, IRVING, TX 75038-3813
(469) 282-2713
(469) 282-2609
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
N8079
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1G7341
MEDICARE
TX
05
—
284898801
—
TX
01
—
P01282389
RAILROAD MEDICARE
TX
01
—
P02587323
MEDICARE RAILROAD
TX
Enumeration date
06/13/2007
Last updated
01/21/2021
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