Individual
JAY HOLMAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2217 PARK BEND DR STE 210, AUSTIN, TX 78758-5674
(512) 697-7090
Mailing address
PO BOX 263, GEORGETOWN, TX 78627-0263
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA11276
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA11276
STATE LICENSE
TX
Enumeration date
06/23/2017
Last updated
03/04/2024
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