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Individual
VICTOR LAMONT HOLMES
Active
Individual
VICTOR LAMONT HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA06508
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220538701
—
TX
01
—
839N18
BCBS
TX
Enumeration date
09/20/2005
Last updated
07/13/2017
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