MEDICARE: RONICA N. HOLCOMBLE, DPM, PA

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	213ES0103X	Foot & Ankle Surgery Podiatrist	1490	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	00Y157	OTHER	TX	MEDICARE GRP NUMBER

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0033NV	OTHER	TX	BCBS GROUP
2	1821074451	OTHER	TX	DR HOLCOMBE NPI
4	1588706964	OTHER	TX	GRP NPI
5	101253500	OTHER	TX	WORKERS COMP NUMBER
6	1538187067	OTHER	TX	DR. CHENG NPI
7	7061140	OTHER	TX	AETNA

General Provider Information

NPI Number	:	1588706964
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RONICA N. HOLCOMBLE, DPM, PA

Provider Business Mailing Address
First Line	:	1145 KINWEST PKWY
Second Line	:	SUITE 100
City	:	IRVING
State	:	TX
Zip	:	75063-3409
Country	:	US
Telephone Number	:	214-574-9255
Fax Number	:	214-574-9258

Provider Business Practice Location Address
First Line	:	1145 KINWEST PKWY
Second Line	:	SUITE 100
City	:	IRVING
State	:	TX
Zip	:	75063-3409
Country	:	US
Telephone Number	:	214-574-9255
Fax Number	:	214-574-9258

Authorized Official
Title or Position	:	OWNER
Name	:	DR. RONICA NANCY HOLCOMBE
Credential	:	DPM
Telephone Number	:	214-574-9255

Provider Enumeration Date	:	02/13/2007
Last Update Date	:	01/19/2011

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