P Praxis·MD
● Active Type 1 · Individual

Judith Jose Bonifacio, RN, MSN, CPNP-PC

Nurse Practitioner·Fort Worth, TX· NPI 1629549019 · Enumerated 2018 · 7 years on NPI
Bonifacio is 1 of 97 nurse practitioner providers in Fort Worth and 1 of 987 in Texas.
NPI age
7 years
Enumerated 2018-12-10
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-10-16
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 987 active nurse practitioner providers in Texas.

NPI age
7 years
↑ 2 yr above median (5 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
1
In the 37% of peers with subspecialties

NPI lifetime · 2018 → 2026

2018-12Enumerated in NPPES
2018 2026

Where they practice

Practice location
1500 W Rosedale St
Fort Worth, TX 761047403
📞 6828853426fax 6828857699
Mailing address
Po Box 733784
Dallas, TX 753733784
📞 6828856483fax 6828853113

Additional practice locations

3 secondary locations on file with NPPES.

Location 2
1935 Medical District Dr
Dallas, TX 752357701
📞 2144562670
Location 3
6520 N President George Bush Hwy Ste 100
Garland, TX 750443925
📞 9725329967
Location 4
3166 S State Highway 161 Ste 170
Grand Prairie, TX 750527720
📞 9726400005

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    TX license #AP138755 taxonomy 363LP2300X
  • Nurse Practitioner
    Definition to come...
    TX license #AP138755 taxonomy 363LP0200X

Practice context

Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new nurse practitioner provider has been added in Fort Worth in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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