Individual
ISREAL CORNELIUS HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
STAR OF DAVID
Contact information
Practice address
3122 SPRINGDALE DR, PEARLAND, TX 77584-5101
(832) 275-2686
(866) 292-3523
Mailing address
3122 SPRINGDALE DR, PEARLAND, TX 77584-5101
(832) 275-2686
(866) 292-3523
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
343800000X
Secured Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
12/03/2014
Last updated
02/22/2023
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