Provider Demographics
NPI:1689551632
Name:ALCOSER, RATASHA PAULETTE (FNP)
Entity type:Individual
Prefix:
First Name:RATASHA
Middle Name:PAULETTE
Last Name:ALCOSER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19928 DOC HOLIDAY DR
Mailing Address - Street 2:
Mailing Address - City:LYTLE
Mailing Address - State:TX
Mailing Address - Zip Code:78052-2299
Mailing Address - Country:US
Mailing Address - Phone:210-416-6682
Mailing Address - Fax:
Practice Address - Street 1:19928 DOC HOLIDAY DR
Practice Address - Street 2:
Practice Address - City:LYTLE
Practice Address - State:TX
Practice Address - Zip Code:78052-2299
Practice Address - Country:US
Practice Address - Phone:210-416-6682
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-20
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program