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1619315769
ELMER OTONIEL BONILLA
CYPRESS, TX
NPI
1619315769
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: TX SA00543)
Enumeration Date
2013-06-11
Last Update Date
2021-01-28
Business Address
ELMER OTONIEL BONILLA MD. LSA
15411 HOPE SHADOW CT
CYPRESS, TX 77429-6237
Phone number: 281-653-2924
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Mailing Address
ELMER OTONIEL BONILLA MD. LSA
PO BOX 691789
HOUSTON, TX 77269-1789
Phone number: 832-237-5656
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