Individual
BAILEY HOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN RN
Contact information
Practice address
602 INDIANA AVE, LUBBOCK, TX 79415-3364
(806) 775-8300
Mailing address
7511 31ST ST, LUBBOCK, TX 79407-1018
(254) 216-3779
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
1023374
TX
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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