IndividualActive
Autumn Lewis-Bonifazi, CSA
NPI 1740545771 · Surgical Technologist · Conroe, TX
Provider details
- NPI number
- 1740545771
- Entity type
- Individual
- Primary specialty
- Surgical TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- CSA
- Sex
- Female
- Sole proprietor
- No
- License
- 3899 (TX)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
2447 Westhoff Ct
Conroe, TX 77384-3366
Phone: (832) 654-9379
Approximate (ZIP-level) locationGet directions
Mailing address
2257 N Loop 336 W
Conroe, TX 77304-3566
Registry dates
- Enumerated
- 2012-07-05
- Last updated
- 2012-07-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.