Clinical Partners PA - Jasper

NPI #1104855808 in Jasper, Texas

Provider Information

NPI Number: 1104855808
Entity Type: Organization
Organization Name: Clinical Partners PA - Jasper
Primary Specialty: Anesthesiology
Enumeration Date: Jul 3, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1275 MARVIN HANCOCK DR
City: Jasper
State: Texas
ZIP Code: 75951-4935
Phone: (903) 663-3600

Authorized Official

Name: HAROLD LEE BOLNICK, M.D.
Title: OWNER
Phone: (903) 261-7297

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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