Provider Demographics
NPI:1619084548
Name:BORCHERS, ELMORE H JR (DDS)
Entity Type:Individual
Prefix:
First Name:ELMORE
Middle Name:H
Last Name:BORCHERS
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:317 REGAL DR
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-2338
Mailing Address - Country:US
Mailing Address - Phone:956-723-3245
Mailing Address - Fax:
Practice Address - Street 1:4403 DAUGHERTY AVE
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-3848
Practice Address - Country:US
Practice Address - Phone:956-723-5533
Practice Address - Fax:956-723-7513
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX72051223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice