Individual
ALLYSON BORGSTEDTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1 SAINT MARKS PL, LA GRANGE, TX 78945-1250
(904) 805-1300
(904) 805-1302
Mailing address
PO BOX 863534, ORLANDO, FL 32886-3534
(904) 805-1300
(904) 805-1302
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
L6225
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8S1503
BCBS
TX
01
—
P00233499
RRMCR
TX
Enumeration date
08/19/2006
Last updated
03/05/2008
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