Bratovich, Boris
Bratovich, Boris is an individual health care provider with primary practice located at 6560 Fannin St Suite 1842, Houston TX 77030-2761. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Bratovich, Boris can be contacted via phone (713) 790-5227.Contact Information
Primary practice address
6560 Fannin St Suite 1842
Houston TX 77030-2761
Phone: (713) 790-5227
Fax: (713) 790-5505
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA00358 | Texas |
Profile Details
| NPI number | 1053311720 |
|---|---|
| LBN Legal business name | Bratovich, Boris |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2005 |
| Last updated | Mar 11th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053311720 | NPPES |
| Texas | Other | 86N033 | BCBS |
| Texas | MEDICAID | 201956401 | BCBS |
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