Organization
HEMMO A BOSSCHER, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEMMO A. BOSSCHER MD, PA (OWNER)
(806) 785-5700
Entity
Organization
Contact information
Practice address
3505 22ND PL, LUBBOCK, TX 79410-1315
(806) 785-5700
(806) 785-6768
Mailing address
PO BOX 6610, LUBBOCK, TX 79493-6610
(806) 796-9597
(806) 799-6908
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
K3995
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170407401
—
TX
Enumeration date
11/09/2007
Last updated
07/17/2014
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