Provider Demographics
NPI:1114987039
Name:BOROWSKI, ADAM M (MD)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:M
Last Name:BOROWSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9123
Mailing Address - Street 2:RADIOLOGY DEPARTMENT
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75608-9123
Mailing Address - Country:US
Mailing Address - Phone:254-751-4000
Mailing Address - Fax:903-663-7394
Practice Address - Street 1:4777 US HIGHWAY 259
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75605-7668
Practice Address - Country:US
Practice Address - Phone:903-663-4800
Practice Address - Fax:903-663-7394
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2016-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ18822085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX85980RMedicaid
TX83035RMedicaid
134584505Medicare ID - Type Unspecified
134584506Medicare ID - Type Unspecified
TX83035RMedicaid