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NPI Code Detail

MEDICARE: MAURICE A HOLMES M.D.

MEDICARE: MAURICE A 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
1207P00000XEmergency Medicine PhysicianL8372TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
48G4119OTHERTXBCBSTX PROV NO

General Provider Information

NPI Number : 1245216878
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAURICE A HOLMES M.D.
Provider Business Mailing Address
First Line : 3715 WILLOW SPRINGS DR
Second Line :
City : MANVEL
State : TX
Zip : 77578-4787
Country : US
Telephone Number : 281-692-1720
Fax Number : 281-692-1783
Provider Business Practice Location Address
First Line : 18300 SAINT JOHN DR
Second Line :
City : HOUSTON
State : TX
Zip : 77058-6302
Country : US
Telephone Number : 281-333-5503
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2005
Last Update Date : 01/28/2015

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Directions to “ MAURICE A HOLMES M.D.” Practice Location

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