Organization
BONHAM ANESTHESIA MANAGEMENT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON JOHNSON (PRESIDENT/CEO)
(866) 488-0513
Entity
Organization
Contact information
Practice address
504 LIPSCOMB ST, BONHAM, TX 75418-4028
(903) 583-8585
(903) 640-7601
Mailing address
1200 E COLLINS BLVD, SUITE 110, RICHARDSON, TX 75081-2457
(866) 488-0513
(903) 374-4711
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
05/16/2011
Last updated
07/21/2011
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