Provider Demographics
NPI:1962091579
Name:BONSU, REJOICE RUTENDO
Entity type:Individual
Prefix:
First Name:REJOICE
Middle Name:RUTENDO
Last Name:BONSU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:REJOICE
Other - Middle Name:RUTENDO
Other - Last Name:MANYAU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3003 SEAGLER RD APT 6116
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-3264
Mailing Address - Country:US
Mailing Address - Phone:832-441-6398
Mailing Address - Fax:
Practice Address - Street 1:3003 SEAGLER RD APT 6116
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-3264
Practice Address - Country:US
Practice Address - Phone:832-441-6398
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-18
Last Update Date:2021-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP141128363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily