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
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 9109049 (FL) |
| Surgical Physician Assistant Primary | 363AS0400X | PA10521 (TX) |
Surgical Physician Assistant: Definition to come...
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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.