Provider Demographics
NPI:1225094758
Name:BOONE, RHONDA JO (DC)
Entity Type:Individual
Prefix:DR
First Name:RHONDA
Middle Name:JO
Last Name:BOONE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:699 S FRIENDSWOOD DR
Mailing Address - Street 2:STE 105
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-4579
Mailing Address - Country:US
Mailing Address - Phone:281-648-0001
Mailing Address - Fax:
Practice Address - Street 1:699 S FRIENDSWOOD DR
Practice Address - Street 2:STE 105
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546
Practice Address - Country:US
Practice Address - Phone:281-648-0001
Practice Address - Fax:281-648-0001
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-24
Last Update Date:2010-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC6525111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
629793OtherACN
605111OtherBCBS
9240962OtherCIGNA
605111OtherBCBS
9240962OtherCIGNA