Organization
DANIEL HUFFMAN BOLIN
Active
Other names
GRACE MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
PATTY A KOSSE (OFFICE MGR)
(940) 761-3333
Entity
Organization
Contact information
Practice address
1208 BROOK AVE, WICHITA FALLS, TX 76301-5602
(940) 761-3333
(940) 766-6302
Mailing address
PO BOX 97555, WICHITA FALLS, TX 76307-7555
(940) 761-3333
(940) 766-6302
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
—
—
Other
Enumeration date
07/13/2007
Last updated
11/16/2007
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