Individual
MRS. DECORLA HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED NURSE
Contact information
Practice address
1152 HIGHPOINT RD., BEDFORD, TX 76022
(682) 227-0821
Mailing address
1152 HIGHPOINT RD., BEDFORD, TX 76022
(682) 227-0821
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
374T00000X
Religious Nonmedical Nursing Personnel
—
—
374U00000X
Home Health Aide
Primary
—
—
376K00000X
Nurse's Aide
NA09046331
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA09046331
NURSE, AIDE
TX
Enumeration date
05/15/2015
Last updated
05/15/2015
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