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NPI Code Detail

MEDICARE: JENNIFER CECILE HOLE

MEDICARE: JENNIFER CECILE HOLE
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
11223G0001XGeneral Practice DentistryDD5228NM
21223G0001XGeneral Practice Dentistry28052TX

General Provider Information

NPI Number : 1316292873
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER CECILE HOLE
Provider Business Mailing Address
First Line : 109 E AVENUE J
Second Line :
City : ROBSTOWN
State : TX
Zip : 78380-2347
Country : US
Telephone Number : 361-387-1531
Fax Number : 361-767-8802
Provider Business Practice Location Address
First Line : 109 E AVENUE J
Second Line :
City : ROBSTOWN
State : TX
Zip : 78380-2347
Country : US
Telephone Number : 361-387-1531
Fax Number : 361-767-8802
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2012
Last Update Date : 10/23/2019

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Directions to “ JENNIFER CECILE HOLE ” Practice Location

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