DANIEL HUFFMAN BOLIN NPI 1265631840

NPI Information

  • NPI: 1265631840
  • Provider Name: DANIEL HUFFMAN BOLIN
  • Classification: Preventive Medicine - 2083P0500X
  • Specialization: Preventive Medicine/Occupational Environmental Medicine
  • Entity Type: Organization
  • Doing Business As: GRACE MEDICAL CLINIC
  • Address: 1208 BROOK AVE
    WICHITA FALLS, TX
    ZIP 76301
  • Phone: (940) 761-3333

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NPI Details

DANIEL HUFFMAN BOLIN is a preventive medicine/occupational environmental medicine preventive medicine in Wichita Falls, TX. The provider is a preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. DANIEL HUFFMAN BOLIN NPI is 1265631840. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Grace Medical Clinic.

The provider's business location address is:

1208 BROOK AVE
WICHITA FALLS, TX
ZIP 76301-602
Phone: (940) 761-3333
Fax: (940) 766-6302

The provider's authorized official is Patty A Kosse .
The authorized official title is Office Mgr and has the following contact phone number (940) 761-3333.

The enumeration date for this NPI number is 7/13/2007 and was last updated on 11/16/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QA0401XFamily MedicineAddiction MedicineNo
22083P0500XPreventive MedicinePreventive Medicine/Occupational Environmental MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11225038094MEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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