Individual
ELMER OTONIEL BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD. LSA
Contact information
Practice address
15411 HOPE SHADOW CT, CYPRESS, TX 77429-6237
(281) 653-2924
(832) 237-5655
Mailing address
PO BOX 691789, HOUSTON, TX 77269-1789
(832) 237-5656
(832) 237-5655
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
SA00543
TX
Other
Enumeration date
06/11/2013
Last updated
01/28/2021
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