Provider Demographics
NPI:1487959292
Name:DR BOSE INDUSTRIAL & FAMILY MEDICINE PLLC
Entity type:Organization
Organization Name:DR BOSE INDUSTRIAL & FAMILY MEDICINE PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:MAGGIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BEAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-668-7333
Mailing Address - Street 1:801 E NOLANA AVE STE 9
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-6113
Mailing Address - Country:US
Mailing Address - Phone:956-668-7333
Mailing Address - Fax:956-259-8085
Practice Address - Street 1:801 E NOLANA AVE STE 9
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-6113
Practice Address - Country:US
Practice Address - Phone:956-668-7333
Practice Address - Fax:956-259-8085
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DR BOSE INDUSTRIAL & FAMILY MEDICINE PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-01-26
Last Update Date:2011-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty