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Individual

AMANDA HOLMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
753 LAMAR AVE, PARIS, TX 75460-4479
(903) 609-8828
(903) 609-8833
Mailing address
PO BOX 20308, WACO, TX 76702-0308
(254) 751-4880

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
J8581
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00N59X
BLUE CROSS
TX
01
040476601
RAILROAD MEDICARE
TX
05
040476601
TX
05
084249401
TX
01
83987G
BLUE CROSS
TX
Enumeration date
08/04/2006
Last updated
07/30/2014
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