Individual
BONNIE BOENIG STRAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2701 HOSPITAL DR, VICTORIA, TX 77901-5748
(361) 573-6291
(361) 576-2434
Mailing address
1501 E MOCKINGBIRD LN STE 101, VICTORIA, TX 77904-2178
(361) 573-6291
(361) 576-2434
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
J1881
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105653303
—
TX
01
—
8F1060
BCBS
TX
01
—
8F1110
BLUE CROSS BLUE SHIELD
—
Enumeration date
05/11/2006
Last updated
11/04/2021
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