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General NPI Number Information
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NPI Number | 1407233687
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Entity Type | Individual
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Provider Name | ASHLEY BOSE MD
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Gender | Female
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Dates
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Enumeration Date | 04/27/2015
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Last Update Date | 02/17/2026
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Provider Practice Location Address
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Address Line | 3601 S BUSINESS HIGHWAY 281
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City | EDINBURG
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State | TX
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Zip | 78539-0287
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Country | US
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Telephone | 956-297-0552
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Fax |
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Provider Business Mailing Address
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Address Line | 2512 BLUE RIDGE DR
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City | EDINBURG
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State | TX
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Zip | 78539-6165
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Country | US
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Telephone | 956-279-5489
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | R0842
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License Number State | TX
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