Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | S1770 | TX |
NPI | 1720344799 |
---|---|
Provider Name | Dr. Timothy Calvin Borden |
First Address | Houston, TX 77030-1526 |
Second Address | Houston, TX 77030-1510 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2012 |
Last Update Date | 07/11/2019 |