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Individual
TIMOTHY L HOLCOMB
Active
Individual
TIMOTHY L HOLCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
P7464
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
349308201
—
TX
01
—
75-2616977-002
TRICARE
TX
01
—
75-2616977-029
TRICARE
TX
01
—
8FE338
BCBS
TX
Enumeration date
06/08/2012
Last updated
10/31/2015
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