Organization
WILLIAM H BORDELON, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM BORDELON MD (PHYSICIAN)
(806) 359-5874
Entity
Organization
Contact information
Practice address
1600 S COULTER ST, BLDG A, STE 100, AMARILLO, TX 79106-1710
(806) 359-5847
(806) 359-9384
Mailing address
1600 S COULTER ST, BLDG A, STE 100, AMARILLO, TX 79106-1710
(806) 359-5847
(806) 359-9384
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174282701
—
TX
Enumeration date
11/08/2007
Last updated
09/30/2011
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