Provider Demographics
NPI:1548052996
Name:BORER MD PLLC
Entity type:Organization
Organization Name:BORER MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DRAKE
Authorized Official - Middle Name:
Authorized Official - Last Name:BORER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-878-4203
Mailing Address - Street 1:1310 WONDER WORLD DR STE 115
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:TX
Mailing Address - Zip Code:78666-8351
Mailing Address - Country:US
Mailing Address - Phone:512-878-4203
Mailing Address - Fax:512-878-4209
Practice Address - Street 1:1310 WONDER WORLD DR STE 115
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666-8351
Practice Address - Country:US
Practice Address - Phone:512-878-4203
Practice Address - Fax:512-878-4209
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-21
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty