person
Juan Alfredo Bonilla, MD
Pediatric Otolaryngology Physician in San Antonio, Texas
NPI 1548260078

Juan Alfredo Bonilla is a Pediatric Otolaryngology Physician based in San Antonio, TX and is specialized in Pediatric Otolaryngology. Juan Alfredo Bonilla practices in San Antonio, TX and has the professional credentials of MD. The NPI Number for Juan Alfredo Bonilla is 1548260078 and holds a License No. G4841 (Texas).

The current practice location address for Juan Alfredo Bonilla is 16723 Huebner Rd, San Antonio, TX and can be reached out via phone at 210-733-4368 and via fax at 210-402-3417. You can also correspond with Juan Alfredo Bonilla through the mailing address at PO BOX 29749, SAN ANTONIO, TX - 78229-0749 (mailing address contact number: 210-733-4368).

Location: 16723 Huebner Rd, San Antonio, TX, 78229-0749
person
Provider Profile Details
NPI Number
1548260078
Provider Name
Juan Alfredo Bonilla
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
16723 Huebner Rd, San Antonio, TX, 78229-0749
Phone Number
210-733-4368
Fax Number
210-402-3417
Provider Enumeration Date
07/27/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
F0072234 01 DPS
G4841 01 TX STATE LIC
095065103 05 TX
120180801 05 TX
120180805 05 TX
institution
Provider Business Practice Location Address Details
Address
16723 Huebner Rd
City
State
Zip
78248-2342
Phone Number
210-733-4368
Fax Number
210-402-3417
person
Provider Business Mailing Address Details
Address
16723 Huebner Rd
City
State
Zip
78248-2342
Phone Number
210-733-4368
Fax Number
210-402-3417
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
G4841 (Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Pediatric Otolaryngology
Taxonomy
License No.
G4841 (Texas)
Definition
A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.
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