Bertrand Bodo
Nurse Practitioner - Acute Care
8214 Milwaukee Ave Ste 200
Lubbock
, Texas 79424-0923
Bertrand Bodo
Nurse Practitioner - Acute Care
8214 Milwaukee Ave Ste 200
Lubbock
, Texas 79424-0923
(806) 475-5545
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About
Features
Specialties
- Nurse Practitioner - Acute Care
Languages spoken
- English
Location
First Address
- Bertrand Bodo
- 8214 Milwaukee Ave Ste 200
- Lubbock, TX
- Zip : 79424-0923
- Fax : (806) 475-5545
- Phone : (806) 475-5544
Second Address
- Bertrand Bodo
- 8214 Milwaukee Ave Ste 200
- Lubbock, TX
- Zip : 79424-0923
- Fax : (806) 475-5545
- Phone : (806) 475-5544
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2100X | Nurse Practitioner - Acute Care | AP130666 | TX |
National Provider Identifier
| NPI | 1013379304 |
|---|---|
| Provider Name | Bertrand Bodo |
| First Address | Lubbock, TX 79424-0923 |
| Second Address | Lubbock, TX 79424-0923 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/03/2016 |
| Last Update Date | 03/11/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.