Individual
DR. DERRICK JOSEPH BORECKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
97 HITCHIN POST, FREDERICKSBURG, TX 78624-3641
(830) 307-5002
(833) 344-1380
Mailing address
575 HILL COUNTRY DR STE 101, KERRVILLE, TX 78028-6024
(830) 258-7288
(830) 258-7678
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K4376
TX
207R00000X
Internal Medicine Physician
ME0069179
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110210123
RAILROAD MEDICARE
FL
05
—
264613700
—
FL
Enumeration date
05/19/2006
Last updated
03/15/2022
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