Emmanuel A. Alcoseba, LSA
Physician Assistant, Surgical in Katy, TX. Individual provider (NPI-1).
NPI number1417190372
StatusActive
Last updated in NPPESFeb 10, 2021
Details
- NPI
- 1417190372
- Entity type
- Individual (NPI-1)
- Name
- Emmanuel A. Alcoseba
- Credential
- LSA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 8, 2009
- Certification date
- Feb 10, 2021
- Last updated
- Feb 10, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | SA00381 | TX | Yes |
| 246ZS0410X | Specialist/Technologist, Other, Surgical Technologist | 06-174 | TX |
Practice location
403 New Hope LnKaty, TX 77494-0285
Phone 281-392-1936
Mailing address
403 New Hope LnKaty, TX 77494-0285
Phone 281-392-1936
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