Department of Veterans Affairs

NPI #1720037476 in Bonham, Texas

Provider Information

NPI Number: 1720037476
Entity Type: Organization
Organization Name: Department of Veterans Affairs
Primary Specialty: Clinic/Center - VA
Enumeration Date: May 9, 2006
Last Updated: Aug 8, 2008

Practice Location

Address: 1201 E 9TH ST
City: Bonham
State: Texas
ZIP Code: 75418-4059
Phone: (903) 583-6307

Authorized Official

Name: MS. VIRGINIA D. TOM, PA-C
Title: PHYSICIAN ASSISTANT
Phone: (903) 583-6307

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - VA — VA	261QV0200X	Primary

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