Bondurant, William W

Bondurant, William W is an individual health care provider with primary practice located at 6801 Emmett F Lowery Expressway , Texas City TX 77591. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Bondurant, William W can be contacted via phone (409) 739-3238.

Contact Information

Primary practice address
6801 Emmett F Lowery Expressway Texas City TX 77591
Fax: (409) 762-9151
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X D0060 Texas

Profile Details

NPI number 1134185424
LBN Legal business name Bondurant, William W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Apr 15th, 2014 - about 10 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 1134185424 NPPES
Texas MEDICAID 129268201

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