Individual
GARY WAYNE HOLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
7900 FANNIN ST, SUITE 2300, HOUSTON, TX 77054-2934
(713) 790-1349
(713) 790-0028
Mailing address
1719 OAK BROOK LANE, ALLEN, TX 75002-1803
(972) 429-8638
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
437923
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83041U
BCBS OF TX
TX
Enumeration date
06/22/2006
Last updated
07/08/2007
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