Individual provider · Type 1 NPI
David Bradley Bonham Jr., CNP
Family Nurse Practitioner · Port Arthur, TX
NPI number
1003650607
Active
Practice location
2501 Jimmy Johnson Blvd Ste 110
Port Arthur, TX 77640-2011
Mailing address
8849 Pinewood Dr Apt 8203
Port Arthur, TX 77640-1185
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 1167246 (TX) |
Family Nurse Practitioner: Definition to come...
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About NPI 1003650607
David Bradley Bonham Jr., CNP's National Provider Identifier is 1003650607, issued on Jun 19, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Port Arthur, TX. The record was last updated on Jun 19, 2024.