Provider Demographics
NPI:1194752592
Name:BOND, THOMAS K SR (MD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:K
Last Name:BOND
Suffix:SR
Gender:M
Credentials:MD
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Mailing Address - Street 1:913 S COLLEGE RD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-3060
Mailing Address - Country:US
Mailing Address - Phone:337-264-7209
Mailing Address - Fax:337-264-7214
Practice Address - Street 1:913 S COLLEGE RD
Practice Address - Street 2:SUITE 106
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-3060
Practice Address - Country:US
Practice Address - Phone:337-264-7209
Practice Address - Fax:337-264-7214
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-28
Last Update Date:2023-03-07
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Provider Licenses
StateLicense IDTaxonomies
LA15178R207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA15178ROtherMEDICAL LICENSE
LABB8480523OtherDEA
LAH94424Medicare UPIN
LA4F466Medicare ID - Type Unspecified