Organization
FANNIN COUNTY HOSPITAL AUTHORITY
Active
Parent organization
FANNIN COUNTY HOSPITAL AUTHORITY
Other names
Bonham Pain Management Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
FANNIN COUNTY HOSPITAL AUTHORITY
Authorized official
MR. JAY J HODGES (CFO)
(903) 640-7311
Entity
Organization
Contact information
Practice address
505 LIPSCOMB ST, BONHAM PAIN MANAGEMENT CLINIC, BONHAM, TX 75418-4027
(903) 640-4809
(903) 640-7601
Mailing address
DRAWER C, BONHAM, TX 75418-0180
(903) 640-7311
(903) 640-7601
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
11/05/2009
Last updated
07/11/2013
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