Individual
HENRY BOHNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3201 UNIVERSITY DR E, STE. 320, BRYAN, TX 77802-3475
(979) 774-3232
Mailing address
3201 UNIVERSITY DR E, STE. 320, BRYAN, TX 77802-3475
(979) 774-3232
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
E6041
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035326002
—
TX
01
—
8F5809
BLUE CROSS
TX
Enumeration date
04/05/2006
Last updated
11/18/2013
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