Individual
SUSAN TIMAJO BIONAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN,ACNP
Contact information
Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
(409) 772-2222
Mailing address
13507 FIELD SPRINGS LN, HOUSTON, TX 77059-3578
(409) 772-2222
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
5093000
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166576201
—
TX
Enumeration date
12/07/2006
Last updated
06/01/2017
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