MARK D BONNEN MD PA (NPI# 1003928326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003928326 |
| Entity Type | Organization |
| Organization Name | MARK D BONNEN MD PA |
| Practice Address |
100 Medical Dr # B Lake Jackson TX 77566-5674 |
| Mailing Address |
900 N Belle Dr Angleton TX 77515-3397 |
| Practice Telephone | 9792979268 |
| Practice Fax Number | 9792979331 |
| Mailing Telephone | 9798481365 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARK D BONNEN (PRESIDENT) |
| Authorized Official Telephone | 979-297-9268 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | L7985 | TX | Other Service Providers |
| Street Address |
100 MEDICAL DR # B |
| City | LAKE JACKSON |
| State | TX |
| Zip Code | 77566-5674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588271746 | Daniel Kent | Pharmacist | 121 Tx-332 W, Lake Jackson, TX 77566 | 2020-09-30 |
| 1134692403 | Gulf Coast Gastroenterology Lab | Clinical Medical Laboratory | 219 Oak Drive South, Suite A, Lake Jackson, TX 77566 | 2019-01-09 |
| 1194266288 | Kaitlin Dingee | Nurse Practitioner | 208 Oak Dr S Ste 502, Lake Jackson, TX 77566 | 2017-03-09 |
| 1326581935 | Nec Lake Jackson Emergency Center, Lp | Clinic/Center | 103 Winding Way, Lake Jackson, TX 77566 | 2016-11-30 |
| 1548618911 | Sara Eddy | Counselor | 109 Circle Way, Lake Jackson, TX 77566 | 2016-05-26 |
| 1689020158 | Baker Chiropractic Center Pllc | Chiropractor | 100-a Plantation Drive, Lake Jackson, TX 77566 | 2016-05-13 |
| 1326409368 | Janet Chen | Pharmacist | 131 Oyster Creek Dr., Lake Jackson, TX 77566 | 2016-03-18 |
| 1164819488 | Eco Dental Care, Pllc | Dentist | 210 Lake Rd, Ste 800 A, Lake Jackson, TX 77566 | 2015-04-24 |
| 1730578196 | Anna Katherine Tucker | Occupational Therapy Assistant | 1052 Cardinal Dr, Richwood, TX 77566 | 2015-01-22 |
| 1306243035 | H-e-b, Lp | Clinical Medical Laboratory | 97 Oyster Creek Drive, Lake Jackson, TX 77566 | 2014-11-24 |
| Find all providers in zip 77566 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174803134 | Michael P. Gilliland, M.d., P.a. | Specialist | 215 Oak Dr S Ste D, Lake Jackson, TX 77566-5617 | 2011-08-23 |
| 1891092839 | Kimberly Cornwell | Specialist | 64 Deerwood Ct, Lake Jackson, TX 77566-4457 | 2011-02-25 |
| 1437331139 | Connie Onxley | Specialist | 206 Highway 332 W, Suite A, Lake Jackson, TX 77566-4013 | 2007-12-04 |
| 1154515740 | Frank Adolph Peltier | Specialist | 215 Oak Dr S Ste C, Lake Jackson, TX 77566-5617 | 2007-08-28 |
| 1841266509 | James D Fuchs | Specialist | 100 Medical Drive, Lake Jackson, TX 77566-5674 | 2006-02-23 |
| 1851385827 | Digestive & Liver Center, Pa | Specialist | 109 Parking Way St, Lake Jackson, TX 77566-5228 | 2005-09-07 |
| 1255330445 | William H Sweatt | Specialist | 104 Circle Way St Ste B, Lake Jackson, TX 77566-5200 | 2005-07-19 |
| 1912904731 | Blair William Krell | Specialist | 214 Parking Way St, Lake Jackson, TX 77566-5227 | 2005-07-07 |
| 1215931613 | Nicholas B Creel | Specialist | 215 Oak Dr S, Ste A, Lake Jackson, TX 77566-5617 | 2005-06-13 |
| 1457625345 | Tamria Denise Blackley | Specialist | 208 Oak Dr S, 400a, Lake Jackson, TX 77566-5790 | 2012-02-24 |
| Find all providers in LAKE JACKSON | ||||
| City | LAKE JACKSON |
| Zip Code | 77566 |
Please comment or provide details below to improve the information on MARK D BONNEN MD PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.