Bonilla, David

Bonilla, David is an individual health care provider with primary practice located at 20031 W Lake Houston Pkwy Ste 200 , Kingwood TX 77346-3465. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Bonilla, David can be contacted via phone (281) 812-4447.

Contact Information

Primary practice address
20031 W Lake Houston Pkwy Ste 200 Kingwood TX 77346-3465
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X M1523 Texas

Profile Details

NPI number 1841363140
LBN Legal business name Bonilla, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2006
Last updated Apr 8th, 2011 - about 13 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 1841363140 NPPES
Texas MEDICAID 214548401

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