Individual
MR. TIMOTHY JOHN BONJOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236-5638
(210) 292-7331
(210) 292-7964
Mailing address
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236-5638
(210) 292-7331
(210) 292-7964
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
—
—
363AM0700X
Medical Physician Assistant
Primary
PA07238
TX
Other
Enumeration date
10/10/2006
Last updated
09/19/2019
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