Individual
MR. ALFONSO JOSE BRAVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.S.A.
Contact information
Practice address
23723 SWEET ACACIA TRL, KATY, TX 77493-3733
(832) 512-4011
Mailing address
23723 SWEET ACACIA TRL, KATY, TX 77493-3733
(832) 512-4011
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144573734
UNIVERSAL SURGICAL PARTNERS
TX
05
—
1144573734
—
TX
01
—
1215220116
UNIVERSAL SURGICAL ASSISTANTS
TX
01
—
1518452614
BLU STAR SURGICAL ASSISTANTS
TX
01
—
1720650948
US MSO
TX
01
—
1891155289
XCITE SURGICAL
TX
Enumeration date
01/09/2007
Last updated
11/20/2024
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