Bonifacio, Judith Jose

Bonifacio, Judith Jose is an individual health care provider with primary practice located at 1500 W Rosedale St , Fort Worth TX 76104-7403. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Bonifacio, Judith Jose can be contacted via phone (682) 885-3426.

Contact Information

Primary practice address
1500 W Rosedale St Fort Worth TX 76104-7403
Phone: (682) 885-3426
Fax: (682) 885-7699
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X AP138755 Texas
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP138755 Texas

Profile Details

NPI number 1629549019
LBN Legal business name Bonifacio, Judith Jose
Credentials RN, MSN, CPNP-PC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2018
Last updated Oct 16th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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