Organization
BONNIEVIEW-OVERTON MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CONNIE NELLUM (NP/OWNER)
(214) 398-4157
Entity
Organization
Contact information
Practice address
3507 BONNIE VIEW RD, DALLAS, TX 75216-4704
(214) 398-4157
(214) 398-4326
Mailing address
909 MORRISON DR, MESQUITE, TX 75150-6079
(972) 342-6581
(214) 398-4326
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/26/2020
Last updated
11/06/2020
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