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Individual

DR. HOUSTON ECCLESTON HOLMES III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3410 WORTH ST, DALLAS, TX 75246-2003
(214) 370-1000
(214) 370-1026
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-2987

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
H9998
TX
207RX0202X
Medical Oncology Physician
H9998
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
134711401
TX
05
134711402
TX
05
134711404
TX
05
134711405
TX
05
134711406
TX
05
134711407
TX
01
8R1466
BLUE CROSS OF TEXAS
TX
Enumeration date
06/14/2006
Last updated
06/14/2011
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