Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | C5608 | TX |
NPI | 1043233794 |
---|---|
Provider Name | Dr. David L Bond |
First Address | Garland, TX 75042-5738 |
Second Address | Garland, TX 75042-5738 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 24/07/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
117028403 | (05) | TX |
160037066 | RR MEDICARE (01) | TX |
C13586 | (02) | TX |