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Contact Information

JANE B BONGOTAN
6004 HAILEY CT PROVIDENCE VILLAGE
PROVIDENCE VILLAGE, TX76227
 Phone: 954-605-5177
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for JANE B BONGOTAN · (Female)

NPI Number 1538638630
Status Active
Credentials
Entity Individual
Enumeration date 11/19/2018
Last updated 11/19/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 900395
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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