Mr Alfonso Jose Bravo, LSA is a
Specialist/technologist, Other - Surgical Assistant based in Katy, Texas. Mr Alfonso Jose Bravo is licensed to practice in * (Not Available) (license number ) and his current practice location is
23723 Sweet Acacia Trl, Katy, Texas. He can be reached at his office (for appointments etc.) via phone at
(832) 512-4011.
NPI number for Mr Alfonso Jose Bravo is 1033268834 and his current mailing address is 23723 Sweet Acacia Trl, Katy, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1033268834.
Provider's Profile
| Full Name | Mr Alfonso Jose Bravo |
|---|
| Gender | Male |
|---|
| Speciality | Specialist/technologist, Other - Surgical Assistant |
|---|
| Location | 23723 Sweet Acacia Trl, Katy, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1033268834
- Provider Enumeration Date: 01/09/2007
- Last Update Date: 11/20/2024
Medical Identifiers
Medical identifiers for Mr Alfonso Jose Bravo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033268834 | NPI | - | NPPES |
| 1891155289 | Other | TX | XCITE SURGICAL |
| 1518452614 | Other | TX | BLU STAR SURGICAL ASSISTANTS |
| 1144573734 | Other | TX | UNIVERSAL SURGICAL PARTNERS |
| 1720650948 | Other | TX | US MSO |
| 1144573734 | Medicaid | TX | |
| 1215220116 | Other | TX | UNIVERSAL SURGICAL ASSISTANTS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AS0400X | Physician Assistant - Surgical | (* (Not Available)) | Secondary |
| 246ZC0007X | Specialist/technologist, Other - Surgical Assistant | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Alfonso Jose Bravo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Alfonso Jose Bravo, LSA
23723 Sweet Acacia Trl,
Katy, TX 77493-3733
Ph: (832) 512-4011 | Mr Alfonso Jose Bravo, LSA
23723 Sweet Acacia Trl,
Katy, TX 77493-3733
Ph: (832) 512-4011 |
Reviews and Comments