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
Phone: (210) 658-7511
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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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