Provider Demographics
NPI:1760998371
Name:J BRAVO MEDICAL SERVICES PLLC
Entity Type:Organization
Organization Name:J BRAVO MEDICAL SERVICES PLLC
Other - Org Name:BRAVO PEDIATRIC & ADULT CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FNP-BC
Authorized Official - Prefix:
Authorized Official - First Name:JULIO
Authorized Official - Middle Name:CESAR
Authorized Official - Last Name:BRAVO
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, APRN, FNP-BC
Authorized Official - Phone:956-784-0375
Mailing Address - Street 1:PO BOX 5055
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78573-0086
Mailing Address - Country:US
Mailing Address - Phone:956-600-8166
Mailing Address - Fax:956-600-8755
Practice Address - Street 1:2001 W MILE 3 RD STE 2500
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78573-4294
Practice Address - Country:US
Practice Address - Phone:956-600-8166
Practice Address - Fax:956-600-8755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-18
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty