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Individual
SUSAN R. BOND
Active
Individual
SUSAN R. BOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
449415
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108864100
FIRSTCARE
TX
05
—
111447201
—
TX
05
—
159000201
—
TX
05
—
159000202
—
TX
01
—
A00274262691776
TRICARE SOUTH REGION
TX
01
—
C22632
CHOICECARE HUMANA
TX
01
—
NP7003
BLUE CROSS BLUE SHEILD
TX
Enumeration date
10/05/2005
Last updated
05/16/2019
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