Individual
DR. DAVID M BORUTA II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
14278
NH
207VX0201X
Gynecologic Oncology Physician
Primary
S3358
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
403439901
—
TX
01
—
403439902
CSHCN
TX
01
—
8LT463
BCBS
TX
Enumeration date
05/19/2006
Last updated
07/06/2021
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