Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MICHAEL ELDRIDGE BONINCONTRI
Active Sole ProprietorIntellectual Disabilities Residential Treatment Facility · KILLEEN, TX
Registration Details
- NPI Number
- 1447318399
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 4, 2006 (19.379944873573 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
1214 ALTA VISTA DRKILLEEN, TX, 765491129Browse TX providers · Browse ZIP 76549
- Phone
- 2544589509
- Primary Specialty
-
Intellectual Disabilities Residential Treatment Facility
320600000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.