Healthcare Provider Details

I. General information

NPI: 1841664489
Provider Name (Legal Business Name): LA TOSHA HOLMES CPNP-PC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/19/2015
Last Update Date: 05/10/2024
Certification Date: 05/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 PROFESSIONAL PARK DR STE 9C
WEBSTER TX
77598-4142
US

IV. Provider business mailing address

9 PROFESSIONAL PARK DR STE 9C
WEBSTER TX
77598-4142
US

V. Phone/Fax

Practice location:
  • Phone: 832-284-7083
  • Fax: 281-525-4123
Mailing address:
  • Phone: 832-284-7083
  • Fax: 281-525-4123

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number729265
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAP129641
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: