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Individual

KAREN M BONTIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2021 N MACARTHUR BLVD, STE 150, IRVING, TX 75061-2219
(972) 253-4270
(972) 401-0458
Mailing address
5425 W SPRING CREEK PKWY, STE 275, PLANO, TX 75024-4320
(972) 253-4270
(972) 401-0458

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
N8078
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
098056
ANTHEM BLUE SHIELD
ME
01
1484134
CIGNA
ME
05
432319099
ME
01
7090704
AETNA
ME
Enumeration date
09/01/2006
Last updated
05/25/2016
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