Provider Demographics
NPI:1679503395
Name:BONNES NEUMANN, MARLAINA G (MD)
Entity Type:Individual
Prefix:
First Name:MARLAINA
Middle Name:G
Last Name:BONNES NEUMANN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MARLAINA
Other - Middle Name:G
Other - Last Name:BONNES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8000 RESEARCH FOREST DR
Mailing Address - Street 2:360
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77382-1504
Mailing Address - Country:US
Mailing Address - Phone:281-292-1191
Mailing Address - Fax:281-362-9170
Practice Address - Street 1:8000 RESEARCH FOREST DR
Practice Address - Street 2:360
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77382-1504
Practice Address - Country:US
Practice Address - Phone:281-292-1191
Practice Address - Fax:281-362-9170
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2012-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL5993207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8M5234OtherBLUE CROSS BLUE SHIELD
TX8D0623Medicare ID - Type Unspecified
TX8M5234OtherBLUE CROSS BLUE SHIELD