Provider Demographics
NPI:1851313969
Name:BORQUEZ, FRANCISCO E (PT)
Entity Type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:E
Last Name:BORQUEZ
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 N MAIN AVE
Mailing Address - Street 2:
Mailing Address - City:ERWIN
Mailing Address - State:TN
Mailing Address - Zip Code:37650-9168
Mailing Address - Country:US
Mailing Address - Phone:423-735-7500
Mailing Address - Fax:423-735-7505
Practice Address - Street 1:1201 N MAIN AVE
Practice Address - Street 2:
Practice Address - City:ERWIN
Practice Address - State:TN
Practice Address - Zip Code:37650-9168
Practice Address - Country:US
Practice Address - Phone:423-735-7500
Practice Address - Fax:423-735-7505
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPT0000003577225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4102657OtherBLUECROSS BLUESHIELD
TN3645345Medicaid
TN3645345Medicare ID - Type Unspecified