Daniel Huffman Bolin, M.D.

Primary specialty

Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X

License

E6042 Issued in TX

Practice address

1208 Brook Ave
Wichita Falls, TX 76301-5602

Phone

(940) 761-3333

Fax

(940) 766-6302

NPI assigned

Jul 22, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225038094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97555",
            "address_2": "1208 BROOK",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763077555",
            "telephone_number": "940-761-3333",
            "fax_number": "940-766-6302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 BROOK AVE",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763015602",
            "telephone_number": "940-761-3333",
            "fax_number": "940-766-6302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLIN",
        "first_name": "DANIEL",
        "middle_name": "HUFFMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "TX",
            "license": "E6042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerald Bodde, LPT
• Diane Johnson Boddy, LPC
• Megan N Bodine, PHD
• Michael Bohannan, LPC
• Jayanth Bolaram, M.D.
• Hiram Jeffrey Bollinger, MPAS, PA-C
• Ivoryne Maude Bollinger
• Donald L Bomer, MD
• Paul Steven Bonner, DDS
• Anupam Boparai, M.D.

• Preventive Medicine/Occupational Environmental Medicine Physician in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Preventive Medicine/Occupational Environmental Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.