MR. PAUL FIANZA BOSEMAN NPI 1952967077

NPI Information

NPI: 1952967077
Provider Name: MR. PAUL FIANZA BOSEMAN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
1106 WILFORD HALL LOOP
SAN ANTONIO, TX
ZIP 78236
Phone: (210) 292-7908
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MR. Paul Fianza Boseman is a family nurse practitioner in San Antonio, TX. MR. Paul Fianza Boseman NPI is 1952967077. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1106 WILFORD HALL LOOP
SAN ANTONIO, TX
ZIP 78236
Phone: (210) 292-7908

The enumeration date for this NPI number is 5/14/2019 and was last updated on 12/17/2019.

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	363LF0000X	Nurse Practitioner	Family	30216	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	30216	OTHER	TEXAS	TRICARE

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: 4/28/2024

NPI Synchronization or Removal

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