Individual
DEREK C BONN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2560 E LEAGUE CITY PKWY, LEAGUE CITY, TX 77573-6459
(281) 783-8162
(713) 439-7995
Mailing address
16107 KENSINGTON DR STE 126, SUGAR LAND, TX 77479-4224
(281) 336-0552
(281) 336-0552
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP139481
TX
363LF0000X
Family Nurse Practitioner
AP139481
TX
Other
Enumeration date
10/25/2018
Last updated
04/30/2021
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