Individual
AMBER DAWN BONTKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
251 W SOUTHLAKE BLVD STE 4, SOUTHLAKE, TX 76092-7043
(682) 407-3958
Mailing address
251 W SOUTHLAKE BLVD STE 4, SOUTHLAKE, TX 76092-7043
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1127037
TX
Other
Enumeration date
07/04/2023
Last updated
07/04/2023
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