Del Bosque, Rene
Del Bosque, Rene is an individual health care provider with primary practice located at 2013 E Griffin Pkwy , Mission TX 78572-3222. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Del Bosque, Rene can be contacted via phone (956) 585-4704.Contact Information
Primary practice address
2013 E Griffin Pkwy
Mission TX 78572-3222
Phone: (956) 585-4704
Fax: (956) 585-6775
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA08324 | Texas |
Profile Details
| NPI number | 1528493459 |
|---|---|
| LBN Legal business name | Del Bosque, Rene |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 10th, 2013 |
| Last updated | Oct 20th, 2015 - about 11 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 | 1528493459 | NPPES |
| Texas | Other | 358731YLPS | WELLMED PTAN |
| Texas | MEDICAID | 340157201 | WELLMED PTAN |
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