Individual
TEQUILA HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
777 N POST OAK RD APT 610, HOUSTON, TX 77024-3806
(985) 507-2655
Mailing address
13326 TARA OAK DR, HOUSTON, TX 77065-3739
(314) 306-0248
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NA0061010023
TX
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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