Organization
DON R BOSSE MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DON R BOSSE M.D. (MEDICAL DOCTOR)
(979) 865-3124
Entity
Organization
Contact information
Practice address
235 W PALM ST, SUITE 105, BELLVILLE, TX 77418-1372
(979) 865-3124
(979) 865-9193
Mailing address
235 W PALM ST, SUITE 105, BELLVILLE, TX 77418-1372
(979) 865-3124
(979) 865-9193
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G3169
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128016602
—
TX
Enumeration date
04/30/2008
Last updated
04/30/2008
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