ALICIA BORDON MD, PA
Osteopathic Medicine at 11 St, Houston, TX

License number
Texas LL2149
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: ALICIA RAQUEL BORDON MD
Title: PRESIDENT
Phone: (713) 880-5266
Address
Address
720 W 11Th St, Houston, TX 77008
National Provider ID: 1134315500
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ALICIA BORDON, M.D., PA

220 W 11 St, Houston, TX 77008

Status:
Inactive
Registration:
May 7, 2007
State ID:
0800811495
Business type:
Professional Association
Member, Director, Officer:
Alicia Raquel Bordon Member, Director, Officer, inactive
Agent:
Alicia R. Bordon,720 West, Houston, TX 77008 (Physical)
TIN:
32035024267

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