| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ALFONSO JOSE BRAVO | 1033268834 | 2024-10-13 |
Alfonso Jose Bravo is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1033268834. Registration indicates Alfonso Jose Bravo is a provider of services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant (Physician Assistant: Surgical, ) (All Other Specialties & Provider Types, ) (Physician Assistant Surgical Technologist, Physician Assistants & Advanced Practice Nursing Providers) (Physician Assistant, ) (Technologists, Technicians & Other Technical Service Providers, Specialist/Technologist, Other) (Specialist/Technologist, Other: Certified First Assistant, ) (All Other Specialties & Provider Types, ) (Specialist/Technologist, Other Surgical Assistant, Technologists, Technicians & Other Technical Service Providers) (Specialist/Technologist, Other, )
| Entity Type | Individual |
| Provider Name | Mr. Alfonso Jose Bravo L.S.A. |
| Practice Office Address | 23723 SWEET ACACIA TRL KATY, TX US |
| Practice Office Telephone | 8325124011 |
| Mailing Address | 23723 SWEET ACACIA TRL KATY, TX 774933733 US |
| Business Telephone | 8325124011 |
| Code | Practice | License No State |
|---|---|---|
| 363AS0400X | Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant: Surgical All Other Specialties & Provider Types Physician Assistant Surgical Technologist Physician Assistants & Advanced Practice Nursing Providers Physician Assistant | SA00284
TX |
| 246ZC0007X PRIMARY | Technologists, Technicians & Other Technical Service Providers Specialist/Technologist, Other Specialist/Technologist, Other: Certified First Assistant All Other Specialties & Provider Types Specialist/Technologist, Other Surgical Assistant Technologists, Technicians & Other Technical Service Providers Specialist/Technologist, Other | SA00284
TX |