Provider Demographics
NPI:1245584507
Name:BOND, RHONDA G (PA)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:G
Last Name:BOND
Suffix:
Gender:F
Credentials:PA
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Other - First Name:
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Mailing Address - Street 1:580 S DENTON TAP RD STE 123
Mailing Address - Street 2:
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-4099
Mailing Address - Country:US
Mailing Address - Phone:972-462-0762
Mailing Address - Fax:972-393-2133
Practice Address - Street 1:580 S DENTON TAP RD STE 123
Practice Address - Street 2:
Practice Address - City:COPPELL
Practice Address - State:TX
Practice Address - Zip Code:75019-4099
Practice Address - Country:US
Practice Address - Phone:972-462-0762
Practice Address - Fax:972-393-2133
Is Sole Proprietor?:No
Enumeration Date:2012-11-07
Last Update Date:2014-06-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXPA08018363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant