Mr Alfonso Jose Bravo, LSA is a
Specialist/technologist, Other - Surgical Assistant based in Sugar Land, Texas. Mr Alfonso Jose Bravo is licensed to practice in Texas (license number SA00284) and his current practice location is
1 Sugar Creek Center Blvd, Sugar Land, Texas. He can be reached at his office (for appointments etc.) via phone at
(832) 655-4141.
NPI number for Mr Alfonso Jose Bravo is 1033268834 and his current mailing address is 1 Sugar Creek Center Blvd, Ste 618, Sugar Land, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1033268834.
Provider's Profile
| Full Name | Mr Alfonso Jose Bravo |
|---|
| Gender | Male |
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| Speciality | Specialist/technologist, Other - Surgical Assistant |
|---|
| Location | 1 Sugar Creek Center Blvd, Sugar Land, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1033268834
- Provider Enumeration Date: 01/09/2007
- Last Update Date: 06/06/2023
Medical Identifiers
Medical identifiers for Mr Alfonso Jose Bravo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033268834 | NPI | - | NPPES |
| 8RA814 | Other | TX | XCITE SURGICAL |
| 8RA776 | Other | TX | BLUE STAR SURGICAL ASSISTANTS |
| 8RA621 | Other | TX | US MSO |
| 8RA622 | Other | TX | UNIVERSAL SURGICAL ASSISTANTS |
| 8RA623 | Other | TX | UNIVERSAL SURGICAL PARTNERS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AS0400X | Physician Assistant - Surgical | SA00284 (Texas) | Secondary |
| 246ZC0007X | Specialist/technologist, Other - Surgical Assistant | SA00284 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Alfonso Jose Bravo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Alfonso Jose Bravo, LSA
1 Sugar Creek Center Blvd, Ste 618,
Sugar Land, TX 77478-3560
Ph: (832) 655-4141 | Mr Alfonso Jose Bravo, LSA
1 Sugar Creek Center Blvd,
Sugar Land, TX 77478-3560
Ph: (832) 655-4141 |
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