Healthcare Provider Details

I. General information

NPI: 1477636132
Provider Name (Legal Business Name): BOSCO FRANCISCO SOARES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/23/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 FOUCHER ST STE M1005
NEW ORLEANS LA
70115-3515
US

IV. Provider business mailing address

11406 DORRANCE LN
STAFFORD TX
77477-1806
US

V. Phone/Fax

Practice location:
  • Phone: 504-897-8948
  • Fax: 504-897-7145
Mailing address:
  • Phone: 206-853-3895
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberMD.200294
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License NumberMD.200294
License Number StateLA
# 3
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberMD.200294
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: