Provider Demographics
NPI:1427255223
Name:BOSQUES, GLENDALIZ (MD)
Entity type:Individual
Prefix:
First Name:GLENDALIZ
Middle Name:
Last Name:BOSQUES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4910 MUELLER BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78723
Mailing Address - Country:US
Mailing Address - Phone:512-324-1893
Mailing Address - Fax:512-380-4268
Practice Address - Street 1:4910 MUELLER BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78723
Practice Address - Country:US
Practice Address - Phone:512-324-1893
Practice Address - Fax:512-380-4268
Is Sole Proprietor?:No
Enumeration Date:2007-06-27
Last Update Date:2025-06-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD00691712081P0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPediatric Rehabilitation Medicine