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Organization

AUSTIN SKELETAL TRAUMA SPECIALISTS, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DRAKE BORER MD (MD/PARTNER)
(512) 391-1751
Entity
Organization

Contact information

Practice address
1313 RED RIVER ST, SUITE 200, AUSTIN, TX 78701-1943
(512) 391-1751
(512) 391-1906
Mailing address
1313 RED RIVER, SUITE 200, AUSTIN, TX 78701-1900
(512) 391-1751
(512) 391-1906

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
363A00000X
Physician Assistant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00588U
PTAN
TX
05
100781704
TX
05
166061501
TX
01
8H3920
BLUE CROSS
TX
01
8H3921
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/28/2006
Last updated
02/13/2015
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