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Individual

BONAVENTURE B NGU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
411 LANTERN BEND DR STE 100A, HOUSTON, TX 77090-2833
(281) 719-9505
(281) 719-0715
Mailing address
411 LANTERN BEND DR STE 100A, HOUSTON, TX 77090-2833
(281) 719-9505
(281) 719-0715

Taxonomy

Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
M3339
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
TXB157224
PTAN
TX
Enumeration date
01/26/2006
Last updated
06/04/2025
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