Individual
LAUREN BACKER DEL BOSQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
333 N SANTA ROSA ST, SAN ANTONIO, TX 78207-3108
(210) 704-2686
Mailing address
315 N SAN SABA STE 1135, SAN ANTONIO, TX 78207-3255
(210) 704-4520
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
015239
NY
363AM0700X
Medical Physician Assistant
Primary
PA08447
TX
Other
Enumeration date
11/03/2011
Last updated
04/21/2023
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