Individual
BRANDI L HOLCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
703 S FLEISHEL AVE, STE 5000, TYLER, TX 75701-2015
(903) 525-2992
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6400
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP131448
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
364256301
—
TX
01
—
75-2616977-123
TRICARE
TX
01
—
8334NY
BCBS
TX
01
—
P01707515
RAIL ROAD MEDICARE
TX
Enumeration date
07/12/2016
Last updated
12/09/2016
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