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Individual
JAY HOLMAAS
Active
Individual
JAY HOLMAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA11276
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA11276
STATE LICENSE
TX
Enumeration date
06/23/2017
Last updated
03/04/2024
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