Individual
ROBERT ELLIS BONHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4104 JUNIUS ST., DALLAS, TX 75246
(214) 742-2194
(214) 827-0162
Mailing address
4104 JUNIUS ST., DALLAS, TX 75246
(214) 742-2194
(214) 827-0162
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
D3155
TX
Other
Enumeration date
09/08/2005
Last updated
11/03/2008
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