Bonacquisti, Gary A

Bonacquisti, Gary A is an individual health care provider with primary practice located at 1005 W Ralph Hall Pkwy Ste 101 , Rockwall TX 75032-6663. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bonacquisti, Gary A can be contacted via phone (972) 771-8686.

Contact Information

Primary practice address
1005 W Ralph Hall Pkwy Ste 101 Rockwall TX 75032-6663
Phone: (972) 771-8686
Fax: (972) 771-8687
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X J6880 Texas

Profile Details

NPI number 1881652311
LBN Legal business name Bonacquisti, Gary A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Jul 14th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1881652311 NPPES
Texas MEDICAID 039772102
Texas MEDICAID 039772103

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