MEDICARE: HOLLEY BRANCH RHODES AND ASSOCIATES

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1750600011
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOLLEY BRANCH RHODES AND ASSOCIATES

Provider Business Mailing Address
First Line	:	405 MAIN ST
Second Line	:	SUITE 700
City	:	HOUSTON
State	:	TX
Zip	:	77002-1837
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	405 MAIN ST
Second Line	:	SUITE 700
City	:	HOUSTON
State	:	TX
Zip	:	77002-1837
Country	:	US
Telephone Number	:	713-291-5521
Fax Number	:

Authorized Official
Title or Position	:	PARTNER
Name	:	MR. ERIC LAMONT RHODES SR.
Credential	:	J.D.
Telephone Number	:	713-291-5521

Provider Enumeration Date	:	05/26/2010
Last Update Date	:	05/26/2010

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