Organization
CLINICAL PARTNERS - WHARTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAROLD L BOLNICK MD (CEO)
(903) 663-3600
Entity
Organization
Contact information
Practice address
1400 HIGHWAY 59 LOOP N, WHARTON, TX 77488-7807
(903) 663-3600
(903) 663-3629
Mailing address
PO BOX 5188, LONGVIEW, TX 75608-5188
(903) 663-3600
(903) 663-3629
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182817002
—
TX
Enumeration date
07/03/2006
Last updated
08/12/2008
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