Individual
MR. GOODNEWS L BONAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9101 LIPAN RD, 105, HOUSTON, TX 77063-5568
(832) 224-8414
Mailing address
9101 LIPAN RD, 105, HOUSTON, TX 77063-5568
(404) 557-1312
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/07/2009
Last updated
12/21/2010
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