DEPARTMENT OF VETERANS AFFAIRS NPI 1720037476

NPI Information

NPI: 1720037476
Provider Name: DEPARTMENT OF VETERANS AFFAIRS
Classification: Clinic/Center - 261QV0200X
Entity Type: Organization

Specialization: VA

Address:
1201 E 9TH ST
BONHAM, TX
ZIP 75418
Phone: (903) 583-6307
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DEPARTMENT OF VETERANS AFFAIRS is a va clinic center in Bonham, TX. DEPARTMENT OF VETERANS AFFAIRS NPI is 1720037476. The provider is registered as an organization entity type.

The provider's business location address is:

1201 E 9TH ST
BONHAM, TX
ZIP 75418-059
Phone: (903) 583-6307
Fax: (903) 583-6339

The provider's authorized official is Virginia D. Tom .
The authorized official title is Physician Assistant and has the following contact phone number (903) 583-6307.

The enumeration date for this NPI number is 5/9/2006 and was last updated on 8/8/2008.

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
1	261QV0200X	Clinic/Center	VA	PA04043	TEXAS	Yes

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
1	PA04043	OTHER	TEXAS	TX STATE BOARD OF PA EXAM
2	1031923	OTHER		NCCPA

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: 4/28/2024

NPI Synchronization or Removal

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