Robert Ellis Bonham, MD - Otolaryngology in Dallas, TX

Robert Ellis Bonham, MD is a Otolaryngology physician based in Dallas, Texas. Robert Ellis Bonham is licensed to practice in Texas (license number D3155) and his current practice location is 4104 Junius St., Dallas, Texas. He can be reached at his office (for appointments etc.) via phone at (214) 742-2194.

NPI number for Robert Ellis Bonham is 1649264359 and his current mailing address is 4104 Junius St., Dallas, Texas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1649264359.

Contact Information

Robert Ellis Bonham, MD
4104 Junius St.,
Dallas, TX 75246
(214) 742-2194
(214) 827-0162

Map and Direction




Physician's Profile

Full NameRobert Ellis Bonham
GenderMale
SpecialityOtolaryngology
Location4104 Junius St., Dallas, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1649264359
  • Provider Enumeration Date: 09/08/2005
  • Last Update Date: 11/03/2008

Medical Identifiers

Medical identifiers for Robert Ellis Bonham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649264359NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology D3155 (Texas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Robert Ellis Bonham is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Robert Ellis Bonham, MD
4104 Junius St.,
Dallas, TX 75246

Ph: (214) 742-2194
Robert Ellis Bonham, MD
4104 Junius St.,
Dallas, TX 75246

Ph: (214) 742-2194

Reviews and Comments


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