Individual
WILLIAM F BONNELL JR.
Active
Individual
WILLIAM F BONNELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
L6295
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00L42V
MEDICARE GROUP
TX
01
—
137283112
MEDICAID GROUP
TX
01
—
137283113
CSHCN GROUP
TX
01
—
161783905
CSHCN
TX
05
—
161783906
—
TX
01
—
1669442042
GRP NPI NUMBER
—
Enumeration date
08/12/2006
Last updated
04/13/2010
Update your record
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