| Mr Alfonso Jose Bravo, LSA | |
|
1 Sugar Creek Center Blvd, Sugar Land, TX 77478-3560 | |
| (832) 655-4141 | |
| (713) 457-5188 |
| Full Name | Mr Alfonso Jose Bravo |
|---|---|
| Gender | Male |
| Speciality | Specialist/technologist, Other - Surgical Assistant |
| Location | 1 Sugar Creek Center Blvd, Sugar Land, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| 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 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | SA00284 (Texas) | Secondary |
| 246ZC0007X | Specialist/technologist, Other - Surgical Assistant | SA00284 (Texas) | Primary |
| 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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