Organization
CENTRAL TEXAS ORAL SURGERY ASSC.
Active
Organization
CENTRAL TEXAS ORAL SURGERY ASSC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANKLIN SAMUEL BONASSO DDS (ORAL SURGEON)
(512) 320-1640
Entity
Organization
Contact information
Practice address
3200 RED RIVER, #400, AUSTIN, TX 78705
(512) 320-1640
(512) 320-1643
Mailing address
3200 RED RIVER, #400, AUSTIN, TX 78705
(512) 320-1640
(512) 320-1643
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
18515
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0015705
ASSURANT
TX
01
—
D18515
BLUE CROSS BLUE SHIELD
TX
Enumeration date
09/27/2006
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up