Peter Borke, CSFA
Specialist/Technologist, Other, Surgical Assistant in Tyler, TX. Individual provider (NPI-1).
NPI number1285328070
StatusActive
Last updated in NPPESJun 6, 2023
Details
- NPI
- 1285328070
- Entity type
- Individual (NPI-1)
- Name
- Peter Borke
- Credential
- CSFA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 6, 2023
- Certification date
- Jun 5, 2023
- Last updated
- Jun 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246ZC0007X | Specialist/Technologist, Other, Surgical Assistant | 175084 | – | Yes |
Practice location
619 S Fleishel Ave Ste 203Tyler, TX 75701-2067
Phone 903-606-1400 · Fax 903-606-1100
Mailing address
619 S Fleishel Ave Ste 203Tyler, TX 75701-2067
Phone 903-606-1400 · Fax 903-606-1100
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