Boris Bratovich PAC

NPI 1053311720 - Physician Assistant - 363AS0400X

NPI Details
NPI 1053311720
Gender Male
Enumeration Date 07/26/2005
Last Updated 07/24/2009
Entity Type Individual
Active Over 11 years ago
Practice Location
SUITE 1842
HOUSTON TX, 77030-2761, US
Phone (713) 790-5227
Fax (713) 790-5505
Business Location
PO BOX 3567
HOUSTON TX, 77253-3567, US
Phone (713) 790-5227
Fax (713) 790-5505
Taxonomy Code 363AS0400X
License State Texas
License Number PA00358
Remove 1053311720 NPI Number

According to our database, Boris Bratovich PAC NPI is 1053311720, taxonomy code is 363AS0400X and license number is PA00358, license state is located at Texas. Boris Bratovich PAC physically located at 6560 Fannin St, Houston TX, 77030-2761. NPI Number Boris Bratovich PAC has the Individual type.

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1053311720 NPI number is provided on an as is basis without warranty of any kind. 1053311720 is maintained by the National Plan & Provider Enumeration System. The contents of Boris Bratovich PAC are for informational purposes only.