Individual
DR. JEANE SIMMONS HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1601 ST JOSEPH PKWY, HOUSTON, TX 77003-5001
(713) 757-7406
Mailing address
1601 ST JOSEPH PKWY, HOUSTON, TX 77003-5001
(713) 757-5616
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
J5124
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096918004
—
TX
05
—
096918006
—
TX
01
—
8G7173
BLUE CROSS BLUE SHIELD
TX
01
—
8S5379
BLUE CROSS BLUE SHIELD
TX
01
—
P00101656
RAILROAD MEDICARE
TX
Enumeration date
05/16/2006
Last updated
05/20/2010
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