MEDICARE: MRS. NANETTE HUEBNER BOND PA-C

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	363A00000X	Physician Assistant	PA00216	TX

General Provider Information

NPI Number	:	1538433859
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. NANETTE HUEBNER BOND PA-C

Provider Business Mailing Address
First Line	:	15635 OAKWORTH CT
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77498-7153
Country	:	US
Telephone Number	:	281-813-9368
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 BAYLOR PLZ RM 225D
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-3411
Country	:	US
Telephone Number	:	281-813-9368
Fax Number	:

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

Provider Enumeration Date	:	03/05/2012
Last Update Date	:	03/05/2012

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