Woodlands Neurology Clinic Pllc | |
129 Vision Park Blvd Ste 201 Shenandoah TX 77384-3024 | |
(936) 267-0912 | |
(936) 267-0935 |
Full Name | Woodlands Neurology Clinic Pllc |
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Speciality | Psychiatry & Neurology |
Location | 129 Vision Park Blvd Ste 201, Shenandoah, Texas |
Authorized Official Name and Position | Laura Belorgey Bonds (OWNER/PHYSICIAN) |
Authorized Official Contact | 9362670912 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Woodlands Neurology Clinic Pllc 129 Vision Park Blvd Ste 201 Shenandoah TX 77384-3024 Ph: (936) 267-0912 | Woodlands Neurology Clinic Pllc 129 Vision Park Blvd Ste 201 Shenandoah TX 77384-3024 Ph: (936) 267-0912 |
NPI Number | 1124509765 |
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Provider Enumeration Date | 08/22/2018 |
Last Update Date | 03/08/2020 |
Certification Date | 03/08/2020 |
Medicare PECOS PAC ID | 3577815901 |
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Medicare Enrollment ID | O20181011002236 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124509765 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
Provider Name | Laura B Bonds |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1295919116 PECOS PAC ID: 6709951676 Enrollment ID: I20080813000095 |
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