Individual
BONNIE J CHESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
9301 N CENTRAL EXPY, SUITE 400, DALLAS, TX 75231-0806
(214) 220-2468
(214) 397-1555
Mailing address
9301 N CENTRAL EXPY, SUITE 400, DALLAS, TX 75231-0806
(214) 220-2468
(214) 397-1555
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
85N019
BLUE CROSS BLUE SHILED
TX
Enumeration date
08/14/2006
Last updated
05/04/2020
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