Bratovich, Boris

Bratovich, Boris is an individual health care provider with primary practice located at 6560 Fannin St Suite 1842, Houston TX 77030-2761. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Bratovich, Boris can be contacted via phone (713) 790-5227.

Contact Information

Primary practice address
6560 Fannin St Suite 1842 Houston TX 77030-2761
Phone: (713) 790-5227
Fax: (713) 790-5505
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA00358 Texas

Profile Details

NPI number 1053311720
LBN Legal business name Bratovich, Boris
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2005
Last updated Mar 11th, 2024 - about 8 months 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 1053311720 NPPES
Texas Other 86N033 BCBS
Texas MEDICAID 201956401 BCBS

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