Doctor Mom Pllc

NPI #1750941118 in Allen, Texas

Provider Information

NPI Number
1750941118
Entity Type
Organization
Organization Name
Doctor Mom Pllc
Primary Specialty
Family Medicine
Enumeration Date
Jun 18, 2019
Last Updated
Oct 25, 2019

Practice Location

Address
1333 W MCDERMOTT DR STE 150
City
Allen
State
Texas
ZIP Code
75013-3088
Phone
(972) 478-0696

Authorized Official

Name
DR. SHAUNTELLE DENE BONMAN, DO
Title
PHYSICIAN
Phone
(972) 284-9498

Specialties & Taxonomy Codes

Specialty
Family Medicine

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