Organization
WILLIAM W BONDURANT III, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM W BONDURANT III M.D. (PRESIDENT)
(409) 739-3238
Entity
Organization
Contact information
Practice address
6801 EMMETT F LOWRY EXPY, TEXAS CITY, TX 77591-2500
(409) 739-3238
Mailing address
7 COLONY PARK CIR, GALVESTON, TX 77551-1737
(409) 739-3238
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134185424
PERSONAL NPI NUMBER
TX
Enumeration date
01/03/2014
Last updated
01/03/2014
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