Doctor Name: | DR. BERNARD STANLEY BORDMAN |
NPI Number: | 1225398092 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | J3746 |
Business Practice Address: | 1007 Gavlan Blf San Antonio, TX - 782584214 |
Business Phone Number: | 2104909433 |
Business Fax Number: | |
Mailing Address: | 1007 Gavlan Blf, SAN ANTONIO |
State: | TX |
Postal Code: | 782584214 |
Phone Number: | 2104909433 |
Fax Number: | |
NPI Enumeration Date: | 05/25/2012 |
NPI Last Update Date: | 05/25/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | J3746 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |