Bousquet, John Alphonse

Bousquet, John Alphonse is an individual health care provider with primary practice located at 505 N Highway 77 Suite 200, Waxahachie TX 75165-1128. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bousquet, John Alphonse can be contacted via phone (972) 923-1686.

Contact Information

Primary practice address
505 N Highway 77 Suite 200 Waxahachie TX 75165-1128
Fax: (972) 923-9268
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G8017 Texas

Profile Details

NPI number 1932145273
LBN Legal business name Bousquet, John Alphonse
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated May 29th, 2009 - about 15 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1932145273 NPPES
Texas MEDICAID 1144669-04
Texas Other 8BR079
Texas MEDICAID 114466905
Texas Other 84Y716

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