SHAWN BONSELL MD PA
Medical Practice at Carroll Ave, Dallas, TX

License number
Texas K8016
Category
Medical Practice
Type
Sports Medicine
Owner
Name: DR. SHAWN C BONSELL M.D.
Title: DOCTOR
Phone: (214) 824-7744
Address
Address
1015 N Carroll Ave STE 2000, Dallas, TX 75204
National Provider ID: 1730366683
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SHAWN BONSELL, M.D., PA

Dallas, TX

Doing business as:
Shawn Bonsell, M.D., PA
Registration:
Aug 15, 2005
Addresses:
4120 Cochran Chapel Rd, Dallas, TX 75209 (Mailing)
1015 N Carroll Ave, Dallas, TX 75204
State ID:
0800531475
Business type:
Professional Association
President , Director , Member:
Shawn C. Bonsell (President , Director , Member)
Agent:
Shawn Bonsell,1015 N Carroll Ave SUITE 2000, Dallas, TX 75204 (Physical)
TIN:
32035351314

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