Provider Demographics
NPI:1750464269
Name:AHUNA, BONIFACE C (CRT)
Entity Type:Individual
Prefix:MR
First Name:BONIFACE
Middle Name:C
Last Name:AHUNA
Suffix:
Gender:M
Credentials:CRT
Other - Prefix:MR
Other - First Name:BONIFACE
Other - Middle Name:C
Other - Last Name:AHUNA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2215 BRUSHMEADE LN
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-8826
Mailing Address - Country:US
Mailing Address - Phone:281-341-5277
Mailing Address - Fax:
Practice Address - Street 1:2002 HOLCOMBE BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4211
Practice Address - Country:US
Practice Address - Phone:713-894-7313
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX638802278C0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2278C0205XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedCritical Care