Organization Active NPI

Clinical Partners PA - Eagle Pass

  • Anesthesiology Physician
  • Eagle Pass, TX
National Provider Identifier
1366471054
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
CLINICAL PARTNERS PA - EAGLE PASS
Practice address
3333 N Foster Maldonado Blvd
Eagle Pass, TX 78852-5893
Phone
(903) 663-3600
Fax
(866) 777-9502
NPI assigned
Jul 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Harold Lee Bolnick, M.D.
Title
Owner
Phone
(903) 261-7297

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

3333 N Foster Maldonado Blvd
Eagle Pass, TX 78852-5893

Mailing address

PO Box 5188
Longview, TX 75608-5188
Phone (903) 663-3600

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366471054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5188",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756085188",
            "telephone_number": "903-663-3600",
            "fax_number": "866-777-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 N FOSTER MALDONADO BLVD",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788525893",
            "telephone_number": "903-663-3600",
            "fax_number": "866-777-9502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL PARTNERS PA - EAGLE PASS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOLNICK",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-261-7297",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle Pass, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.