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1750371472

NPI Code Detail

MEDICARE: DR. CHAD HOLMES MD

MEDICARE: DR. CHAD HOLMES MD

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	207L00000X	Anesthesiology Physician	M2978	TX
2	207L00000X	Anesthesiology Physician	01069042A	IN
3	207L00000X	Anesthesiology Physician	14364	NV

General Provider Information

NPI Number	:	1750371472
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHAD HOLMES MD

Provider Business Mailing Address
First Line	:	9260 W SUNSET RD
Second Line	:	STE. 200
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-4858
Country	:	US
Telephone Number	:	702-255-3547
Fax Number	:

Provider Business Practice Location Address
First Line	:	9260 W SUNSET RD
Second Line	:	STE. 200
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-4858
Country	:	US
Telephone Number	:	702-255-3547
Fax Number	:

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

Provider Enumeration Date	:	10/25/2005
Last Update Date	:	01/31/2017

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1558368431 — CARL D VIRGIL MD
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1972502755 — ANDREW G FOLLEY M.D.
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1528072733 — ROBERT MODUGNO MD
Practice Location Address:

9260 W SUNSET RD , SUITE 200
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89148-4858

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1114937679 — FRANK L ANDERSON DO
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9260 W SUNSET RD , STE. 200
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89148-4858

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1154414373 — MR. JEFFREY SCOTT JEDYNAK CRNA
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Directions to “ DR. CHAD HOLMES MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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