GRACE MEDICAL CLINIC - NPI 1265631840 - Preventive Medicine in Wichita Falls, TX

Q: What is Daniel Huffman Bolin's NPI number?

The NPI number for Daniel Huffman Bolin is 1265631840. It was assigned to this organization in the NPPES registry on July 13, 2007. The provider is doing business as Grace Medical Clinic.

Q: What is Daniel Huffman Bolin's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Preventive Medicine/Occupational Environmental Medicine, with taxonomy code 2083P0500X.

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About Grace Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRACE MEDICAL CLINIC (NPI 1265631840) is a healthcare organization registered as a preventive medicine/occupational environmental medicine in Wichita Falls, Texas and active in the NPI registry since July 2007. The organization lists Patty A Kosse, Office Mgr, as its authorized official.

NPPES Registry Identity

NPI1265631840

Entity TypeOrganization

Primary Taxonomy2083P0500X

Legal Business NameDANIEL HUFFMAN BOLIN

Location Address1208 BROOK AVEWichita Falls, TX 76301-5602

Mailing AddressPo Box 97555Wichita Falls, TX 76307-7555 · (940) 761-3333 · Fax (940) 766-6302

Phone(940) 761-3333

Fax(940) 766-6302

Organization SubpartNo

Authorized OfficialPatty A KosseOffice Mgr · (940) 761-3333

Enumeration DateJuly 13, 2007

Last NPPES UpdateNovember 16, 2007

✔ NPI 1265631840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2083P0500X

Definition

A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.

Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X

1208 BROOK AVE, Wichita Falls, TX 76301

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Other Names 1

Doing Business AsGrace Medical Clinic

Other Identifiers 1

Medicare PIN1225038094TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JORDAN MATTHEW TERASAKI M.D.

Internal Medicine (Pulmonary Disease)