Provider Demographics
NPI:1952421893
Name:CAPPO, BONNIE (MS)
Entity Type:Individual
Prefix:
First Name:BONNIE
Middle Name:
Last Name:CAPPO
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1215 SLAUGHTER LN W
Mailing Address - Street 2:APT 1614
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78748-6700
Mailing Address - Country:US
Mailing Address - Phone:337-292-9056
Mailing Address - Fax:
Practice Address - Street 1:1215 SLAUGHTER LN W
Practice Address - Street 2:APT 1614
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78748-6700
Practice Address - Country:US
Practice Address - Phone:337-292-9056
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies