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NPI Code Detail

MEDICARE: VIRGINIA C HOLMES PA

MEDICARE: VIRGINIA C HOLMES 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
1363A00000XPhysician Assistant004523GA
2363A00000XPhysician AssistantPA05492TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912928359
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIRGINIA C HOLMES PA
Provider Business Mailing Address
First Line : 7630 N BEACH ST STE 140
Second Line :
City : FORT WORTH
State : TX
Zip : 76137-3016
Country : US
Telephone Number : 817-281-2977
Fax Number : 817-788-2530
Provider Business Practice Location Address
First Line : 7630 N BEACH ST STE 140
Second Line :
City : FORT WORTH
State : TX
Zip : 76137-3016
Country : US
Telephone Number : 817-281-2977
Fax Number : 817-788-2530
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2006
Last Update Date : 11/11/2016

Similar Medicare Providers

1053381541 — KEVIN ANDREW KUENSTLER M.D.
Practice Location Address:
7630 N BEACH ST STE 140
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Practice Fax: 817-788-2530
1487961181 — JAMES ALAN BURKE PA-C
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1134417298 — JONATHAN FLORES PA
Practice Location Address:
7630 N BEACH ST STE 140
FORT WORTH, TX
76137-3016
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Practice Fax: 817-788-2530
1043625296 — STACI SUTTON
Practice Location Address:
7630 N BEACH ST STE 140
FORT WORTH, TX
76137-3016
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Practice Fax: 817-788-2530
1790155620 — REBECCA HAWTHORNE
Practice Location Address:
7630 N BEACH ST STE 140
FORT WORTH, TX
76137-3016
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1033751201 — JULIET CLUTTER PA-C
Practice Location Address:
7630 N BEACH ST STE 140
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Practice Fax:

Directions to “ VIRGINIA C HOLMES PA” Practice Location

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