# FANNIN COUNTY HOSPITAL AUTHORITY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FANNIN COUNTY HOSPITAL AUTHORITY
- **Other names:** Bonham Pain Management Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1437486867
- **Legal business name:** FANNIN COUNTY HOSPITAL AUTHORITY
- **Authorized official:** MR. JAY J HODGES (CFO)
- **Authorized official phone:** (903) 640-7311

## Contact information

- **Practice address:** 505 LIPSCOMB ST, BONHAM PAIN MANAGEMENT CLINIC, BONHAM, TX 75418-4027
- **Practice address phone:** (903) 640-4809
- **Practice address fax:** (903) 640-7601
- **Mailing address:** DRAWER C, BONHAM, TX 75418-0180
- **Mailing address phone:** (903) 640-7311
- **Mailing address fax:** (903) 640-7601

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/05/2009
- **Last updated:** 07/11/2013