Provider Demographics
NPI:1013579291
Name:JOSE G. SOSA FNP PC
Entity Type:Organization
Organization Name:JOSE G. SOSA FNP PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:GUALALUPE
Authorized Official - Last Name:SOSA
Authorized Official - Suffix:JR
Authorized Official - Credentials:FNP
Authorized Official - Phone:210-535-8609
Mailing Address - Street 1:451 E ALTON GLOOR BLVD STE 3
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78526-3393
Mailing Address - Country:US
Mailing Address - Phone:956-621-1111
Mailing Address - Fax:956-621-1130
Practice Address - Street 1:451 E ALTON GLOOR BLVD STE 3
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78526-3393
Practice Address - Country:US
Practice Address - Phone:956-621-1111
Practice Address - Fax:956-621-1130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-08
Last Update Date:2019-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care