Individual
BONNIE L FLOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD FACC
Contact information
Practice address
7777 FOREST LN, STE B 215, DALLAS, TX 75230-2505
(972) 566-2822
(972) 566-8343
Mailing address
PO BOX 650044, DALLAS, TX 75265-0044
(972) 566-2822
(972) 566-8343
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G8596
TX
207RC0000X
Cardiovascular Disease Physician
G8596
TX
207RI0011X
Interventional Cardiology Physician
Primary
G8596
TX
207UN0901X
Nuclear Cardiology Physician
G8596
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136742711
—
TX
01
—
8R3680
BCBS
TX
Enumeration date
12/14/2005
Last updated
04/27/2017
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