Individual provider · Type 1 NPI

Brian Patrick Bosworth, PA-C

Surgical Physician Assistant · Dallas, TX

NPI number 1447629233 Active

Practice location

221 W Colorado Blvd, Pav II Suite 431
Dallas, TX 75208-2363

Fax (214) 947-3239

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400X9109049 (FL)
Surgical Physician Assistant Primary 363AS0400XPA10521 (TX)

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About NPI 1447629233

Brian Patrick Bosworth, PA-C's National Provider Identifier is 1447629233, issued on Sep 22, 2015. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Dallas, TX. The record was last updated on Nov 4, 2016.