Provider Demographics
NPI:1780888388
Name:BONDS, RANA SUZETTE (MD)
Entity type:Individual
Prefix:DR
First Name:RANA
Middle Name:SUZETTE
Last Name:BONDS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1101 W MAIN ST
Mailing Address - Street 2:SUITE P
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-2046
Mailing Address - Country:US
Mailing Address - Phone:281-332-6090
Mailing Address - Fax:832-905-6176
Practice Address - Street 1:1101 W MAIN ST
Practice Address - Street 2:SUITE P
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-2046
Practice Address - Country:US
Practice Address - Phone:281-332-6090
Practice Address - Fax:832-905-6176
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM6842207K00000X
TXBP2-0022028207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
2794065624OtherMYUTMB 2794065624-COMMERCIAL NUMBER