MEDICARE: NELSON K BOND MD

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	207L00000X	Anesthesiology Physician	L4253	TX
2	208VP0014X	Interventional Pain Medicine Physician	L4253	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	V0146535	OTHER	TX	DPS
2	8S5689	OTHER	TX	BLUE CROSS BLUE SHIELD
3	6465986	OTHER		CIGNA

General Provider Information

NPI Number	:	1548208192
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NELSON K BOND MD

Provider Business Mailing Address
First Line	:	1302 WAUGH DR
Second Line	:	PMB 533
City	:	HOUSTON
State	:	TX
Zip	:	77019-3908
Country	:	US
Telephone Number	:	844-342-2227
Fax Number	:	713-401-9758

Provider Business Practice Location Address
First Line	:	3838 N SAM HOUSTON PKWY E
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77032-3400
Country	:	US
Telephone Number	:	844-342-2227
Fax Number	:	713-401-9758

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

Provider Enumeration Date	:	06/04/2006
Last Update Date	:	07/05/2023

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