Organization
BONAGE MEDICAL SUPPLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GOODNEWS BONAGE (PRESIDENT)
(713) 278-2000
Entity
Organization
Contact information
Practice address
9101 LIPAN RD, 105, HOUSTON, TX 77063-5568
(713) 278-2000
(713) 278-2002
Mailing address
9101 LIPAN RD, 105, HOUSTON, TX 77063-5568
(713) 278-2000
(713) 278-2002
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/07/2011
Last updated
08/01/2015
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