Bravo, Alfonso Jose
Bravo, Alfonso Jose is an individual health care provider with primary practice located at 23723 Sweet Acacia Trl , Katy TX 77493-3733. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Technologists, Technicians & Other Technical Service Providers / Surgical Assistant. Technologists, Technicians & Other Technical Service Providers / Surgical Assistant is his primary health care specialty. Bravo, Alfonso Jose can be contacted via phone (832) 512-4011.Contact Information
Primary practice address
23723 Sweet Acacia Trl
Katy TX 77493-3733
Phone: (832) 512-4011
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | ||
| Technologists, Technicians & Other Technical Service Providers / Surgical Assistant | 246ZC0007X |
Profile Details
| NPI number | 1033268834 |
|---|---|
| LBN Legal business name | Bravo, Alfonso Jose |
| Credentials | L.S.A. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2007 |
| Last updated | Nov 20th, 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 | 1033268834 | NPPES |
| Texas | Other | 1891155289 | XCITE SURGICAL |
| Texas | Other | 1518452614 | XCITE SURGICAL |
| Texas | Other | 1144573734 | XCITE SURGICAL |
| Texas | Other | 1720650948 | XCITE SURGICAL |
| Texas | MEDICAID | 1144573734 | XCITE SURGICAL |
| Texas | Other | 1215220116 | XCITE SURGICAL |
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