Individual
ANTHONY BONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
WSI
Contact information
Practice address
1307A CLINT ST, CARROLLTON, TX 75006-6314
(214) 836-7792
Mailing address
1307A CLINT ST, CARROLLTON, TX 75006-6314
(214) 836-7792
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
TX
252Y00000X
Early Intervention Provider Agency
OOKBDCV
TX
273Y00000X
Rehabilitation Hospital Unit
OOKBDCV
TX
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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