Daniel Huffman Bolin

Primary specialty

Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X

Legal business name

DANIEL HUFFMAN BOLIN

Practice address

1208 Brook Ave
Wichita Falls, TX 76301-5602

Phone

(940) 761-3333

Fax

(940) 766-6302

NPI assigned

Jul 13, 2007

Organization subpart

No

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

Authorized official

Name

Patty A Kosse

Title

Office MGR

Phone

(940) 761-3333

Specialties & licenses 2

Addresses

Other names 1

• GRACE MEDICAL CLINIC Doing business as

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1265631840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97555",
            "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": {
        "organization_name": "DANIEL HUFFMAN BOLIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "KOSSE",
        "authorized_official_first_name": "PATTY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "940-761-3333"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRACE MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bree Daily
• Jenna Daily, BCABA
• Jill Dancewicz
• Sravanthi Reddy Dandala, DMD
• Daniel & Max, LLC
• Daniel Max & Marcandrea LLC
• Dana A Daniels, P.T.
• David L Daniels, LMFT
• Danny Bartel MD PA
• Danny R. Bartel, MD PA

• 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 Nov 16, 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.