Email received from: Christine.Rodriguez@dchstx.org  Subject: Monica Del Bosque Gonzalez, NP    RE:             Monica Del Bosque Gonzalez, NP  NPI #:        1871132811  Tax ID#:    81-890349     Good Morning,  I am currently working on the INITIAL application for Monica Del Bosque Gonzalez, NP for the Driscoll Health  Plan; and I need some additional documentation completed.  (see attached)  ·         PAA Agreement  ·         Attestation  ·         Current Liability Insurance  ·         NP License  ·         W-9 form  ·         Page 1 of TSCA – Place of Birth  ·         Page 2 of TSCA – Work History completed  ·         Page 4-5 of TSCA – Referenced and Call Coverage  ·         Page 6 of TSCA – Check payable To box completed  Please forward all requested information to my attention via email within 5 business days.  Feel free to contact me if you have any questions.      Thank you,  Christine S Rodriguez  Credentialing Specialist  4525 Ayers St  Corpus Christi, TX 78415-1401  Office:  (361) 694-4322  Fax: (361) 808-2182  Email: Christine.Rodriguez@dchstx.org  Website: www.driscollhealthplan.com