Individual
NATHANIEL P BONFANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 648-3916
(214) 648-8423
Mailing address
UT SOUTHWESTERN MEDICAL CENTER, 5323 HARRY HINES BLVD., DALLAS, TX 75010-8579
(214) 648-3916
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R5086
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2010
Last updated
03/17/2018
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