Individual
DANA M BOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1500 COOPER ST, FORT WORTH, TX 76104-2710
(682) 885-4405
(682) 885-4407
Mailing address
PO BOX 99371, FORT WORTH, TX 76199-0371
(682) 885-1855
(682) 885-4734
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
579874
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
AP104242
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8N7541
BCBS
TX
Enumeration date
10/28/2005
Last updated
11/26/2019
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