MR. PAUL FIANZA BOSEMAN


Address: 1106 Wilford Hall Loop, San Antonio, TX 78236
Phone: 2102927908

MR. PAUL FIANZA BOSEMAN (NPI# 1952967077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952967077
Entity Type Individual
Full Name MR. PAUL FIANZA BOSEMAN
Practice Address 1106 Wilford Hall Loop
San Antonio
TX 78236
Mailing Address 1100 Wilford Hall Loop
Jbsa Lackland
TX 78236-5638
Practice Telephone 2102927908
Mailing Telephone 2102927331
Enumeration Date 2019-05-14
Last Update Date 2019-12-17
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
30216 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX TRICARE 30216 01

Office Location

Street Address 1106 WILFORD HALL LOOP
City SAN ANTONIO
State TX
Zip Code 78236

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063047363 Arnoldo Arturo Gonzalez Jr. Specialist/Technologist 1033 Truemper St, Lackland Afb, TX 78236 2020-03-06
1023643343 Meredith Grace Cockerell Specialist/Technologist W Military Drive, San Antonio, TX 78236 2020-03-06
1578120598 Hali Rashelle Hall Dentist 1615 Truemper St, Blg 6418, Attn: 59ds/sgdn, Jbsa Lackland, TX 78236 2019-05-24
1689161978 Kelly Jones Buckshire Dentist Dunn Dental Clinic, 1615 Truemper Rd, San Antonio, TX 78236 2018-04-23
1902308570 Roger Louis Farney Student in an Organized Health Care Education/Training Program 1100 Wilford Hall Loop Bldg. 4554, Jbsa Lackland Afb, TX 78236 2018-02-28
1568916856 Thomas Maxwell Woolf Dentist 1100 Wilford Hall Ambulatory Surgical Center, Lackland Afb, TX 78236 2016-08-04
1831544956 Michael Veronneau Student in an Organized Health Care Education/Training Program 59 Mdw/ge 1100 Wilford Hall Loop, Bldg. 4554, Jbsa Lackland, TX 78236 2016-04-26
1376906958 David Kephart Jr. General Practice 1100 Wilford Hall Loop Bldg 4454, Jbsa Lackland, TX 78236 2016-04-01
1184084089 Olivia Arballo Dermatology Wilford Hall Asc, Attn: Dept of Dermatology, 1100 Wilford Hall Loop Bldg 4554, Jbsa-lackland, TX 78236 2016-03-04
1700284916 Jeffery Scott Martin Psychologist 1025 Femoyer St Bldg 10908, Jbsa Lackland, TX 78236 2014-12-22
Find all providers in zip 78236

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1033719521 Macy Atkins Nurse Practitioner 6676 Utsa Blvd, San Antonio, TX 78249-5100 2020-10-26
1801494554 Yordanis Rafael Fonseca Vega Nurse Practitioner 12521 Nacogdoches Rd Ste 101, San Antonio, TX 78217-2117 2020-10-14
1255939237 Ashley Elizabeth Swartz Nurse Practitioner 9502 Huebner Rd Ste 101, San Antonio, TX 78240-1683 2020-10-13
1871190173 Cynthia B Elkins Nurse Practitioner 24806 Terlingua Bnd, San Antonio, TX 78261-2726 2020-10-08
1588270623 Amanda Razo Nurse Practitioner 6315 Welles Arbor Cir, San Antonio, TX 78240-2148 2020-09-23
1255946935 Norberto Hernandez Iv Nurse Practitioner 11501 Braesview Apt 3903, San Antonio, TX 78213-1262 2020-09-10
1033723655 Hira Mughal Nurse Practitioner 9850 Twinbear Crk, San Antonio, TX 78245-9596 2020-09-01
1366055675 Maria Christina Cruz Tijerina Nurse Practitioner 18518 Hardy Oak Blvd Apt 135, San Antonio, TX 78258-4759 2020-08-26
1225649593 Gina M Duron Nurse Practitioner 10730 Green Trail Dr, San Antonio, TX 78223-4224 2020-08-11
Find all providers in SAN ANTONIO

Competitor

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City SAN ANTONIO
Zip Code 78236

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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