MEDICARE: FAITH L HOLMES M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	K8215	TX

General Provider Information

NPI Number	:	1235133836
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FAITH L HOLMES M.D.

Provider Business Mailing Address
First Line	:	4107 SPICEWOOD SPRINGS RD
Second Line	:	SUITE 100
City	:	AUSTIN
State	:	TX
Zip	:	78759-8660
Country	:	US
Telephone Number	:	512-397-3360
Fax Number	:	512-343-7101

Provider Business Practice Location Address
First Line	:	4107 SPICEWOOD SPRINGS RD
Second Line	:	SUITE 100
City	:	AUSTIN
State	:	TX
Zip	:	78759-8660
Country	:	US
Telephone Number	:	512-397-3360
Fax Number	:	512-343-7101

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2005
Last Update Date	:	08/14/2014

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Directions to “ FAITH L HOLMES M.D.” Practice Location

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