Provider Demographics
NPI:1902039779
Name:ATTENTUS BONHAM, LP
Entity Type:Organization
Organization Name:ATTENTUS BONHAM, LP
Other - Org Name:BONHAM ORTHOPEDIC CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:J
Authorized Official - Last Name:HODGES
Authorized Official - Suffix:
Authorized Official - Credentials:CFO
Authorized Official - Phone:903-583-8585
Mailing Address - Street 1:DRAWER C
Mailing Address - Street 2:
Mailing Address - City:BONHAM
Mailing Address - State:TX
Mailing Address - Zip Code:75418-0180
Mailing Address - Country:US
Mailing Address - Phone:903-640-7311
Mailing Address - Fax:903-640-7601
Practice Address - Street 1:505 LIPSCOMB
Practice Address - Street 2:
Practice Address - City:BONHAM
Practice Address - State:TX
Practice Address - Zip Code:75418-4027
Practice Address - Country:US
Practice Address - Phone:903-640-4809
Practice Address - Fax:903-640-4950
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ATTENTUS BONHAM, LP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-08-27
Last Update Date:2010-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty