Basic Information
| Provider Information | |||||||||
| NPI: | 1386623353 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BOND | ||||||||
| FirstName: | MICHAEL | ||||||||
| MiddleName: | M | ||||||||
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| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6009 W PARKER RD # 149-182 | ||||||||
| Address2: | |||||||||
| City: | PLANO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750938120 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9042330007 | ||||||||
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| Practice Location | |||||||||
| Address1: | 200 HEALTH CARE DR | ||||||||
| Address2: | |||||||||
| City: | GREENVILLE | ||||||||
| State: | IL | ||||||||
| PostalCode: | 622461154 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6186641230 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/10/2006 | ||||||||
| LastUpdateDate: | 05/10/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 036.101170 | IL | N | Allopathic & Osteopathic Physicians | Emergency Medicine | 207Q00000X | L7984 | TX | N | Allopathic & Osteopathic Physicians | Family Medicine | 207QH0002X | L7984 | TX | N | Allopathic & Osteopathic Physicians | Family Medicine | Hospice and Palliative Medicine | 207P00000X | L7984 | TX | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.