Kimberly Belgica Bongiorno, RDMS

Individual provider Active NPI Diagnostic Ultrasound Physician · Haslet, TX

NPI 1528662913 · NPPES record last updated Nov 25, 2020

Key facts

NPI
1528662913
Entity type
Individual (NPI type 1)
Primary specialty
Diagnostic Ultrasound Physician 2085U0001X
License
201363 (TX)
Practice address
10745 Kittering TRL
Haslet, TX 76052
Phone
(214) 609-4978
NPI assigned
Nov 25, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
201363TXMDDiagnostic Ultrasound Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Ultrasound Physician 2085U0001X 201363 TX Yes

Addresses

Primary practice location

10745 Kittering TRL
Haslet, TX 76052

Mailing address

10745 Kittering TRL
Haslet, TX 76052
Phone (214) 609-4978

Other names

  • Mrs. Kimberly Belgica Charus Former name

Other providers in Haslet, TX

All providers in Haslet, TX · Diagnostic Ultrasound Physician in Texas

Sources for this page

Verify at the official NPI Registry.