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Dr. Scott A Boruchow, MD
Student in an Organized Health Care Education/Training Program in Austin, Texas
NPI 1174772354

Scott A Boruchow is a Student in an Organized Health Care Education/Training Program based in Austin, TX. Scott A Boruchow practices in Austin, TX and has the professional credentials of MD. The NPI Number for Scott A Boruchow is 1174772354 and holds a License No. P5598 (Texas).

The current practice location address for Scott A Boruchow is 11714 Wilson Parke Ave Ste 150, Austin, TX and can be reached out via phone at 737-247-7200 and via fax at 512-406-7368.

Location: 11714 Wilson Parke Ave Ste 150, Austin, TX, 78723-1144
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174772354
Provider Name
Scott A Boruchow
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
11714 Wilson Parke Ave Ste 150, Austin, TX, 78723-1144
Phone Number
737-247-7200
Fax Number
512-406-7368
Provider Enumeration Date
09/12/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
319331001 05 TX
P01331818 01 TX RRMC
institution
Provider Business Practice Location Address Details
Address
11714 Wilson Parke Ave Ste 150
City
Austin
State
Texas
Zip
78726-4061
Phone Number
737-247-7200
Fax Number
512-406-7368
person
Provider Business Mailing Address Details
Address
11714 Wilson Parke Ave Ste 150
City
Austin
State
Texas
Zip
78726-4061
Phone Number
737-247-7200
Fax Number
512-406-7368
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
236439 (Massachusetts)
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
236439 (Massachusetts)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
P5598 (Texas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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