Active NPI
Thomas Louis Borok, MD, PA
- Radiation Oncology Physician
- Dallas, TX
National Provider Identifier
1922175827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- F8420
- Legal business name
- THOMAS LOUIS BOROK, MD, PA
- Practice address
- 5004 Spyglass Drive
Dallas, TX 75287-7429 - Phone
- (972) 931-1073
- Fax
- (972) 931-1073
- NPI assigned
- Nov 29, 2006
- Last updated
- Dec 14, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Thomas Louis Borok, MD
- Title
- President
- Phone
- (972) 931-1073
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | F8420 | TX | Primary |
| Radiation Oncology Physician | 2085R0001X | 31879 | GA | |
| Radiation Oncology Physician | 2085R0001X | 01053626A | IN | |
| Radiation Oncology Physician | 2085R0001X | 41983020 | WI | |
| Radiation Oncology Physician | 2085R0001X | 10480 | MT | |
| Radiation Oncology Physician | 2085R0001X | 41983-020 | WI |
Addresses
Primary practice location
5004 Spyglass Drive
Dallas, TX 75287-7429
Mailing address
PO Box 702806
Dallas, TX 75370-2806
Phone (972) 931-1073
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 897859945 | Other | IMP | |
| PO8820196 | Medicaid | TX |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Radiation Oncology Physician
- Dallas, TX
- NPI 1013084912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1260748800000",
"number": "1922175827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 702806",
"city": "DALLAS",
"state": "TX",
"postal_code": "753702806",
"telephone_number": "972-931-1073",
"fax_number": "972-931-1073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5004 SPYGLASS DRIVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752877429",
"telephone_number": "972-931-1073",
"fax_number": "972-931-1073"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOMAS LOUIS BOROK, MD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-29",
"last_updated": "2009-12-14",
"status": "A",
"authorized_official_last_name": "BOROK",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "LOUIS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "972-931-1073",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "TX",
"license": "F8420",
"primary": true
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "GA",
"license": "31879",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "IN",
"license": "01053626A",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "WI",
"license": "41983020",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "MT",
"license": "10480",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "WI",
"license": "41983-020",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IMP",
"identifier": "897859945",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PO8820196",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.