DFW Surgical Solutions LLC

Primary specialty

Medical-Surgical Clinical Nurse SpecialistTaxonomy code 364SM0705X

License

537082/686090 Issued in TX

Legal business name

DFW SURGICAL SOLUTIONS LLC

Doing business as

DFW Surgical

Practice address

2521 Lone Star LN
Grapevine, TX 76051-4535

Phone

(817) 480-1800

Fax

(817) 251-0205

NPI assigned

Jan 31, 2008

Last updated

Jan 31, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jackie Dean Bonner II, DC

Title

Owner/Member

Phone

(817) 480-1800

Specialties & licenses 1

Addresses

Other names 1

• DFW Surgical Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1033397062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 186",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760990186",
            "telephone_number": "817-480-1800",
            "fax_number": "817-251-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 LONE STAR LN",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760514535",
            "telephone_number": "817-480-1800",
            "fax_number": "817-251-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DFW SURGICAL SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "BONNER",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "817-480-1800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "364SM0705X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Medical-Surgical",
            "state": "TX",
            "license": "537082/686090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DFW Surgical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• DFW Plastic Surgery
• DFW Smiles, PLLC (DFW Smiles,)
• Diabetic Care LLC
• David S Diamond
• Elizabeth Schnabl Dickey, MD, PHD
• Anthony Joseph Dillard, DDS
• Ashlee Dillon, CPNP

• Medical-Surgical Clinical Nurse Specialist in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Medical-Surgical Clinical Nurse Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.