Individual
EUGENE S BONDS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5322 22ND ST, LUBBOCK, TX 79407-2117
(806) 543-0488
(866) 419-7167
Mailing address
PO BOX 16285, LUBBOCK, TX 79490-6285
(806) 543-0488
(866) 419-7167
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
007350
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007350
—
TX
Enumeration date
06/05/2014
Last updated
06/05/2014
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