Provider Demographics
NPI:1295919116
Name:BONDS, LAURA BELORGEY (MD)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:BELORGEY
Last Name:BONDS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 VISION PARK BLVD STE 201
Mailing Address - Street 2:
Mailing Address - City:SHENANDOAH
Mailing Address - State:TX
Mailing Address - Zip Code:77384-3024
Mailing Address - Country:US
Mailing Address - Phone:936-267-0912
Mailing Address - Fax:369-267-0935
Practice Address - Street 1:129 VISION PARK BLVD STE 201
Practice Address - Street 2:
Practice Address - City:SHENANDOAH
Practice Address - State:TX
Practice Address - Zip Code:77384-3024
Practice Address - Country:US
Practice Address - Phone:369-267-0912
Practice Address - Fax:936-267-0935
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-27
Last Update Date:2020-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM78662084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX197967605Medicaid
TX00J21AOtherMEDICARE GROUP
TX094010801OtherMEDICAID GROUP
TX197967601Medicaid
TX197967606Medicaid
TX8FU434OtherBCBS
TX197967606Medicaid
TX8K9072Medicare PIN