MEDICARE: BONISWA PORTIA MADUNA DIRECTOR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility

General Provider Information

NPI Number	:	1144877481
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BONISWA PORTIA MADUNA DIRECTOR

Provider Business Mailing Address
First Line	:	20206 STONEBRIDGE TERRACE DR
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-5202
Country	:	US
Telephone Number	:	832-805-0933
Fax Number	:

Provider Business Practice Location Address
First Line	:	20206 STONEBRIDGE TERRACE DR
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-5202
Country	:	US
Telephone Number	:	832-805-0933
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/21/2019
Last Update Date	:	05/27/2026

Similar Medicare Providers

1942571740 — VERIZON HEALTH RESOURCES LLC
Practice Location Address:

5202 EMORY MILL RD
RICHMOND, TX
77407-7120

Practice Phone: 832-595-1733
Practice Fax: 832-595-1760

1285980490 — GOLDEN AGE HEALTH SOLUTIONS LLC
Practice Location Address:

5202 EMORY MILL RD
RICHMOND, TX
77407-7120

Practice Phone: 281-762-1726
Practice Fax: 281-762-1727

1780284786 — GIFTED HANDS ENTERPRISE, LLC
Practice Location Address:

5202 EMORY MILL RD
RICHMOND, TX
77407-7120

Practice Phone: 832-795-8982
Practice Fax: 832-514-3646

1548307630 — TRIWILL HEALTHCARE SERVICES, INC.
Practice Location Address:

5202 EMORY MILL RD
RICHMOND, TX
77469-7120

Practice Phone: 832-527-3720
Practice Fax:

1861744245 — VEAZEY PSYCHOLOGICAL SERVICE, PLLC
Practice Location Address:

21903 VENTURE PARK DR
RICHMOND, TX
77406-5202

Practice Phone: 832-595-4641
Practice Fax:

1356121594 — BEYOND AUTISM THERAPY INC
Practice Location Address:

11235 DUNSTAN HILL DR
RICHMOND, TX
77407-1846

Practice Phone: 713-874-4782
Practice Fax:

Directions to “ BONISWA PORTIA MADUNA DIRECTOR” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.