Eulogio Bonsukan, MD
Emergency Medicine in Kilgore, TX. Individual provider (NPI-1).
NPI number1285680835
StatusActive
Last updated in NPPESFeb 1, 2008
Details
- NPI
- 1285680835
- Entity type
- Individual (NPI-1)
- Name
- Eulogio Bonsukan
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 25, 2006
- Last updated
- Feb 1, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | E9119 | TX | Yes |
Practice location
1612 S Henderson BlvdKilgore, TX 75662-3518
Phone 903-984-3505
Mailing address
Po Box 8549Fort Worth, TX 76124-0549
Phone 817-451-4208 · Fax 817-563-3699
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