Provider Demographics
NPI:1063642361
Name:BONE, CURTIS WILLIAM (MD)
Entity type:Individual
Prefix:
First Name:CURTIS
Middle Name:WILLIAM
Last Name:BONE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5109 MEDICAL DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-5068
Mailing Address - Country:US
Mailing Address - Phone:210-450-7090
Mailing Address - Fax:
Practice Address - Street 1:5109 MEDICAL DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-5068
Practice Address - Country:US
Practice Address - Phone:210-450-7090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-21
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX48100207Q00000X, 207QA0401X
PAMD465443207Q00000X, 207QA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT008039745OtherPCS MEDICAID (BPT)
CTD400252402OtherBONE MEDICARE NUMBER
CT008056033OtherPCS MEDICAID CONGRESS AVE
CT008056168OtherPCS NORTH HAVEN MEDICAID
CT004041000OtherACCESS CENTER MEDICAID
CT004217099OtherPCS LONG WHARF MEDICAID
CT008003745OtherACCESS CENTER MEDICAID
CT008060842Medicaid