MRS. JACQUELINE E BVLGARI PA-C
NPI 1437136439
Physician Assistant - Medical in Jbsa Randolph, TX
Active since December 30, 2005
About Mrs. Jacqueline E Bvlgari Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JACQUELINE E BVLGARI PA-C (NPI 1437136439) is an individual medical provider in Jbsa Randolph, Texas, licensed in (1045517) and active in the NPI registry since December 2005.
NPPES Registry Identity
NPI1437136439
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. JACQUELINE E BVLGARICredential: PA-C
Location Address221 3RD ST W BLDG 1040Jbsa Randolph, TX 78150-4800
Mailing Address2931 Harney Path Rm 247Jbsa Ft Sam Houston, TX 78234-7674 · (808) 282-2080
Phone(808) 282-2080
Sole ProprietorNo
Enumeration DateDecember 30, 2005
Last NPPES UpdateNovember 9, 2020
NPPES CertifiedNovember 9, 2020
✔ NPI 1437136439 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed · 1045517
221 3RD ST W BLDG 1040, Jbsa Randolph, TX 78150
Other Names 1
Former Name (1)Jacqueline E King Pa-c
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Nurse Practitioner (Women's Health)
221 3RD ST W BLDG 1040
JBSA RANDOLPH, TX 78150
JBSA RANDOLPH, TX 78150
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1437136439, enumerated as an "individual" on December 30, 2005.
The provider is located at 221 3RD ST W BLDG 1040 JBSA RANDOLPH, TX 78150 and the phone number is (808) 282-2080.
Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.
