Organization
SHAWN BONSELL MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWN C BONSELL M.D. (DOCTOR)
(214) 824-7744
Entity
Organization
Contact information
Practice address
1015 N CARROLL AVE STE 2000, DALLAS, TX 75204-6607
(214) 824-7744
(214) 824-7755
Mailing address
1015 N CARROLL AVE STE 2000, DALLAS, TX 75204-6607
(214) 824-7744
(214) 824-7755
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
K8016
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146533803
—
TX
Enumeration date
01/23/2008
Last updated
06/17/2008
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