Provider Demographics
NPI:1215180609
Name:DEBOSKIE, THURAYYA COFI (CRNA)
Entity type:Individual
Prefix:
First Name:THURAYYA
Middle Name:COFI
Last Name:DEBOSKIE
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:THURAYYA
Other - Middle Name:COFI
Other - Last Name:GILLIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:1801 N OREGON ST
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-3524
Mailing Address - Country:US
Mailing Address - Phone:915-521-7040
Mailing Address - Fax:
Practice Address - Street 1:1801 N OREGON ST
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-3524
Practice Address - Country:US
Practice Address - Phone:915-521-7040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-29
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP11788367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered