Provider Demographics
NPI:1245481308
Name:ROSARIO, GASPAR ALEJANDRO JR (PA)
Entity type:Individual
Prefix:MR
First Name:GASPAR
Middle Name:ALEJANDRO
Last Name:ROSARIO
Suffix:JR
Gender:M
Credentials:PA
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Mailing Address - Street 1:PO BOX 565
Mailing Address - Street 2:
Mailing Address - City:BANDERA
Mailing Address - State:TX
Mailing Address - Zip Code:78003-0565
Mailing Address - Country:US
Mailing Address - Phone:830-796-7713
Mailing Address - Fax:830-796-7744
Practice Address - Street 1:1051 US HIGHWAY 90 E
Practice Address - Street 2:
Practice Address - City:CASTROVILLE
Practice Address - State:TX
Practice Address - Zip Code:78009
Practice Address - Country:US
Practice Address - Phone:830-931-3336
Practice Address - Fax:830-931-3508
Is Sole Proprietor?:No
Enumeration Date:2008-10-08
Last Update Date:2018-07-11
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Provider Licenses
StateLicense IDTaxonomies
TXPA12033363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant