Bohannon, Mary

Bohannon, Mary is an individual health care provider with primary practice located at 1702 Pat Booker Rd , Universal City TX 78148-3435. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Bohannon, Mary can be contacted via phone (210) 658-7511.

Contact Information

Primary practice address
1702 Pat Booker Rd Universal City TX 78148-3435
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 3732 Texas

Profile Details

NPI number 1518179365
LBN Legal business name Bohannon, Mary
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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