Organization
ANDRES BONELLI, MD
Active
Organization
ANDRES BONELLI, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDRES BONELLI MD (DOCTOR/OWNER)
(361) 882-1917
Entity
Organization
Contact information
Practice address
1521 S. STAPLES, #403, CORPUS CHRISTI, TX 78404
(361) 882-1917
(361) 882-7507
Mailing address
PO BOX 331248, CORPUS CHRISTI, TX 78463-1248
(361) 882-1917
(361) 882-7507
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099781902
—
TX
Enumeration date
11/20/2009
Last updated
11/20/2009
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