Individual
DR. JASON JOSEPH BOSCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1180 SETON PKWY, SUITE 340, KYLE, TX 78640-6178
(512) 504-0851
Mailing address
1180 SETON PKWY, SUITE 340, KYLE, TX 78640-6178
(512) 504-0851
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
M9873
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212604703
—
TX
05
—
212604704
—
TX
Enumeration date
12/16/2005
Last updated
01/17/2013
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