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NPI Code Detail

MEDICARE: BAILEY HOLMAN

MEDICARE: BAILEY HOLMAN
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
1225X00000XOccupational Therapist125034TX

General Provider Information

NPI Number : 1871450452
Entity Type Code : Individual
Provider Name (Legal Business Name) : BAILEY HOLMAN
Provider Business Mailing Address
First Line : 450 COUNTY ROAD 1424
Second Line :
City : JACKSONVILLE
State : TX
Zip : 75766-7660
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2026 S JACKSON ST
Second Line :
City : JACKSONVILLE
State : TX
Zip : 75766-5822
Country : US
Telephone Number : 903-541-4500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2026
Last Update Date : 01/06/2026

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Directions to “ BAILEY HOLMAN ” Practice Location

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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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