Provider Demographics
NPI:1780838169
Name:BOND, ELAINE
Entity Type:Individual
Prefix:MS
First Name:ELAINE
Middle Name:
Last Name:BOND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 SHADY OAKS DR
Mailing Address - Street 2:
Mailing Address - City:KYLE
Mailing Address - State:TX
Mailing Address - Zip Code:78640-4867
Mailing Address - Country:US
Mailing Address - Phone:512-268-5037
Mailing Address - Fax:
Practice Address - Street 1:700 SHADY OAKS DR
Practice Address - Street 2:
Practice Address - City:KYLE
Practice Address - State:TX
Practice Address - Zip Code:78640-4867
Practice Address - Country:US
Practice Address - Phone:512-268-5037
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-11
Last Update Date:2008-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes177F00000XOther Service ProvidersLodging