Individual
BENJAMIN BOSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
PO BOX 782531, SAN ANTONIO, TX 78278-2531
(480) 275-1968
Mailing address
PO BOX 782531, SAN ANTONIO, TX 78278-2531
(480) 275-1968
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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