Provider Demographics
NPI:1659654507
Name:BORGES, DEMETRIA L (PA-C)
Entity type:Individual
Prefix:MS
First Name:DEMETRIA
Middle Name:L
Last Name:BORGES
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:DEMETRIA
Other - Middle Name:J
Other - Last Name:LOUKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:7011 RIBELIN RANCH RD STE 200
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78750-8585
Mailing Address - Country:US
Mailing Address - Phone:512-345-7436
Mailing Address - Fax:
Practice Address - Street 1:7011 RIBELIN RANCH RD STE 200
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78750-8585
Practice Address - Country:US
Practice Address - Phone:
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-27
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA11264363A00000X
MDC04590363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant