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Organization

TEXAS SURGICAL ARTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICARDO M. BONNOR M.D. (PRESIDENT)
(281) 579-5638
Entity
Organization

Contact information

Practice address
21720 KINGSLAND BLVD, SUITE 303A, KATY, TX 77450-2550
(281) 579-5638
Mailing address
21720 KINGSLAND BLVD, SUITE 303A, KATY, TX 77450-2550
(281) 579-5638

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
L5679
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
L5679
STATE LICENSE
TX
Enumeration date
06/30/2016
Last updated
06/30/2016
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