Organization Active NPI

VA North Texas Health Care System

  • Recreation Therapist
  • Bonham, TX
National Provider Identifier
1205939410
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recreation TherapistTaxonomy code 225800000X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
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 Directory

Locations

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

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.

Verify at the official NPI Registry.