Active NPI
VA North Texas Health Care System
- Recreation Therapist
- Bonham, TX
National Provider Identifier
1205939410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- Legal business name
- VA NORTH TEXAS HEALTH CARE SYSTEM
- Practice address
- 1201 E 9TH St
Bonham, TX 75418-4059 - Phone
- (903) 583-6620
- NPI assigned
- Sep 6, 2006
- Last updated
- Jul 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Betty Bolin-Brown
- Title
- Director
- Phone
- (214) 742-8387
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | NU | Primary |
Addresses
Primary practice location
1201 E 9TH St
Bonham, TX 75418-4059
Mailing address
4500 S Lancaster Rd # 11K
Dallas, TX 75216-7167
Phone (214) 742-8387
National Provider Directory
National Provider DirectoryLocations
4500 S Lancaster Rd
#11K
Dallas, TX 75216
Phone (214) 857-1270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1205939410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 S LANCASTER RD # 11K",
"city": "DALLAS",
"state": "TX",
"postal_code": "752167167",
"telephone_number": "214-742-8387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 E 9TH ST",
"city": "BONHAM",
"state": "TX",
"postal_code": "754184059",
"telephone_number": "903-583-6620"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VA NORTH TEXAS HEALTH CARE SYSTEM",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-06",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "BOLIN-BROWN",
"authorized_official_first_name": "BETTY",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "214-742-8387",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bonham, TX
- Gregory L Towe, RPH
- Trenton Isd
- Trusted Care Home Health LLC (Trusted Care Home Health)
- Wilfred Omoghibora Ukhurebor, DDS
- Universal Radiology Partners of Texas PLLC
- Karen Vandusen, M.S.,R.D.
- Veterans Affairs
- Veterans Affairs Hospital
- Victory Hone Health of Texas
- Victory Medical Equipment of Texas, LLC (Victory Medical Equipment of Texas)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.