Bonham, Karen

Bonham, Karen is an individual health care provider with primary practice located at 800 W Randol Mill Rd , Arlington TX 76012-2504. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bonham, Karen can be contacted via phone (817) 250-4906.

Contact Information

Primary practice address
800 W Randol Mill Rd Arlington TX 76012-2504
Phone: (817) 250-4906
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10610 Texas

Profile Details

NPI number 1699220095
LBN Legal business name Bonham, Karen
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2016
Last updated Jun 16th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699220095 NPPES
Texas MEDICAID 363219202
Texas MEDICAID 363219201

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