Provider Demographics
NPI:1306028568
Name:JAMES BONDS MD
Entity Type:Organization
Organization Name:JAMES BONDS MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:VAULL
Authorized Official - Last Name:BONDS
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:979-764-7983
Mailing Address - Street 1:4103 LAKELAND
Mailing Address - Street 2:
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77845-9655
Mailing Address - Country:US
Mailing Address - Phone:979-764-7983
Mailing Address - Fax:
Practice Address - Street 1:4103 LAKELAND
Practice Address - Street 2:
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77845-9655
Practice Address - Country:US
Practice Address - Phone:979-764-7983
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-29
Last Update Date:2007-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH6061207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0048DMedicare PIN