DESARAE BOSS PA-C NPI 1003525841

NPI Information

NPI: 1003525841
Provider Name: DESARAE BOSS, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
7515 GREENVILLE AVE STE 900
DALLAS, TX
ZIP 75231
Phone: (844) 585-3544
Get Directions

Desarae Boss, PA-C is a medical physician assistant in Dallas, TX with 2 years of experience. Desarae Boss, PA-C NPI is 1003525841. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduation Year:2022

The provider's business location address is:

7515 GREENVILLE AVE STE 900
DALLAS, TX
ZIP 75231-851
Phone: (844) 585-3544

The NPI 1003525841 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/21/2022 and was last updated on 11/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA16222	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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