Organization
JERRY T HOLUBEC DO, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY T HOLUBEC DO (OWNER)
(972) 672-8921
Entity
Organization
Contact information
Practice address
2710 N JOSEY LN, STE 301, CARROLLTON, TX 75007-5400
(469) 916-0521
(972) 231-7095
Mailing address
PO BOX 268969, OKLAHOMA CITY, OK 73126-8969
(972) 479-1115
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
H0458
TX
Other
Enumeration date
11/05/2008
Last updated
10/19/2011
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