Bravo, Pete C
Bravo, Pete C is an individual health care provider with primary practice located at 2777 E Southlake Blvd Ste 140 , Southlake TX 76092-8017. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Bravo, Pete C can be contacted via phone (817) 686-8104.Contact Information
Primary practice address
2777 E Southlake Blvd Ste 140
Southlake TX 76092-8017
Phone: (817) 686-8104
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | AP140592 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AP140592 | Texas |
Profile Details
| NPI number | 1073079216 |
|---|---|
| LBN Legal business name | Bravo, Pete C |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 12th, 2019 |
| Last updated | Jan 13th, 2020 - about 6 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.
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