Bonnen, Mark David

Bonnen, Mark David is an sole proprietor health care provider with primary practice located at 7979 Wurzbach Rd , San Antonio TX 78229-4427. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Radiation Oncology, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Bonnen, Mark David can be contacted via phone (210) 450-1016.

Contact Information

Primary practice address
7979 Wurzbach Rd San Antonio TX 78229-4427
Phone: (210) 450-1016
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X L7985 Texas
Other Service Providers / Specialist 174400000X L7985 Texas

Profile Details

NPI number 1215962287
LBN Legal business name Bonnen, Mark David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2006
Last updated Feb 13th, 2020 - about 6 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 1215962287 NPPES
Texas MEDICAID 174483109

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