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General NPI Number Information
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NPI Number | 1184052888
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Entity Type | Organization
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Legal Business Name | BONAVENTURE NGU MD, PLLC
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Dates
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Enumeration Date | 10/16/2013
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 411 LANTERN BEND DR, SUITE 100A
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City | HOUSTON
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State | TX
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Zip | 77090
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Country | US
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Telephone | 281-719-9505
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Fax | 281-719-0715
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Provider Business Mailing Address
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Address Line | 710 BUCKINGHAM DR.
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City | HOUSTON
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State | TX
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Zip | 77024
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Country | US
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Telephone | 832-326-0393
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Fax | 281-913-5718
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Authorized Official
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Title or Position | OWNER
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Name | DR. BONAVENTURE BIMAMBU NGU
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Credential | MD
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Telephone | 936-697-2111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | M3339
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License Number State | TX
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