Organization Active NPI

Clinical Partners PA - Alice

  • Anesthesiology Physician
  • Alice, TX
National Provider Identifier
1881623619
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 - ALICE
Practice address
2500 E Main St
Alice, TX 78332-4169
Phone
(903) 663-3600
Fax
(866) 777-9502
NPI assigned
Jul 2, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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 Physician 207L00000X Primary

Addresses

Primary practice location

2500 E Main St
Alice, TX 78332-4169

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": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881623619",
    "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": "2500 E MAIN ST",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324169",
            "telephone_number": "903-663-3600",
            "fax_number": "866-777-9502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL PARTNERS PA - ALICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "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": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alice, 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.