Organization
HOLCOMB PEDIATRICS AND SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD ALLEN HOLCOMB MD (OWNER)
(210) 681-3343
Entity
Organization
Contact information
Practice address
134 MENGER SPGS, 1240, BOERNE, TX 78006-7218
(830) 816-5437
(830) 331-9438
Mailing address
134 MENGER SPGS, 1240, BOERNE, TX 78006-7218
(830) 816-5437
(830) 331-9438
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
L6945
TX
2080S0010X
Pediatric Sports Medicine Physician
L6945
TX
Other
Enumeration date
02/21/2007
Last updated
11/15/2007
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