Individual
DR. JOHN WALTER BORDAGES JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
6870 PHELAN BLVD, BEAUMONT, TX 77706-5970
(409) 861-1181
(409) 861-1166
Mailing address
6870 PHELAN BLVD, BEAUMONT, TX 77706-5970
(409) 861-1181
(409) 861-1166
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
25056
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1236358 02
—
TX
Enumeration date
09/22/2006
Last updated
07/18/2016
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