Organization
HOLMES & MUNYON, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
T J HOLMES M.D. (M.D./PRESIDENT)
(402) 552-3040
Entity
Organization
Contact information
Practice address
4239 FARNAM ST, #301, OMAHA, NE 68131-2868
(402) 552-3040
(402) 552-3043
Mailing address
4239 FARNAM ST, #301, OMAHA, NE 68131-2868
(402) 552-3040
(402) 552-3043
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025125800
—
NE
Enumeration date
09/29/2006
Last updated
05/22/2013
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