Individual
MR. BRANDON LEE DEL BOSQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2833 BABCOCK RD STE 435, SAN ANTONIO, TX 78229-4850
(210) 705-5060
(210) 705-5171
Mailing address
PO BOX 661242, DALLAS, TX 75266-1242
(210) 705-5060
(210) 705-5171
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA07974
TX
363AS0400X
Surgical Physician Assistant
PA07974
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
342020001
—
TX
Enumeration date
09/18/2012
Last updated
07/21/2026
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