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Organization
TEXOMACARE
Active
Organization
TEXOMACARE
Active
Parent organization
TEXOMACARE
Other names
TexomaCare Bonham
Organization subpart
Yes
Provider details
NPI number
Legal business name
TEXOMACARE
Authorized official
TODD EVANS (VP)
(610) 768-3300
Entity
Organization
Contact information
Practice address
2201 N HWY 121, BONHAM, TX 75418-2345
(903) 583-3111
(903) 583-1444
Mailing address
5012 US HWY 75 S, STE 300, ATT. BILLING, DENISON, TX 75020
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127350002
—
TX
Enumeration date
05/19/2006
Last updated
06/28/2019
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