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Individual

TINA LEE BOSCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CST/CSFA

Contact information

Practice address
7324 SOUTHWEST FREEWAY, SUITE 1550, HOUSTON, TX 77074-2053
(713) 779-9800
(713) 779-9813
Mailing address
7324 SOUTHWEST FREEWAY, SUITE 1550, HOUSTON, TX 77074-2053
(713) 779-9800
(713) 779-9813

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
138037
TX
246ZC0007X
Surgical Assistant
Primary
SA00479
TX
246ZS0410X
Surgical Technologist
138037
TX

Other

Enumeration date
11/15/2012
Last updated
06/12/2014
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