Organization
ARIADNA L. BORY D.O. PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARIADNA L. BORY D.O. (DOCTOR)
(305) 331-4500
Entity
Organization
Contact information
Practice address
2010 BILL OWENS PKWY, LONGVIEW, TX 75604-6210
(903) 247-3400
Mailing address
2 STONERIDGE TRL, LONGVIEW, TX 75605-2725
(305) 331-4500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M3922
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0059RJ
BCBS TX
TX
Enumeration date
08/19/2006
Last updated
06/21/2018
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