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Individual

JOSE ARTURO BONILLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
16723 HUEBNER RD, SAN ANTONIO, TX 78248-2342
(210) 733-4368
(210) 402-3417
Mailing address
PO BOX 29749, SAN ANTONIO, TX 78229-0749
(210) 733-4386
(210) 402-3417

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
H7913
TX
207YP0228X
Pediatric Otolaryngology Physician
H7913
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100216403
TX
01
B0097102
DPS
01
H7913
STATE LIC
TX
Enumeration date
07/27/2005
Last updated
03/12/2024
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