Individual
DR. BRIAN PATRICK BOSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
221 W COLORADO BLVD, PAV II SUITE 431, DALLAS, TX 75208-2363
(214) 947-3684
(214) 947-3239
Mailing address
221 W COLORADO BLVD, PAV II SUITE 431, DALLAS, TX 75208-2363
(214) 947-3684
(214) 947-3239
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
9109049
FL
363AS0400X
Surgical Physician Assistant
Primary
PA10521
TX
Other
Enumeration date
09/22/2015
Last updated
11/04/2016
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