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
Update your record
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