Individual
DR. RICARDO M BONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18211 KATY FWY STE 250, HOUSTON, TX 77094-1398
(281) 579-5638
(281) 579-5636
Mailing address
18211 KATY FWY STE 250, HOUSTON, TX 77094-1398
(281) 579-5638
(281) 579-5636
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
L5679
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4154816
CIGNA
TX
01
—
7450629
AETNA
TX
01
—
8W5120
BLUE CROSS BLUE SHIELD
TX
01
—
P00427347
RAILROAD MEDICARE
TX
Enumeration date
05/03/2006
Last updated
01/17/2020
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