Individual
DR. JUSTIN WAYNE HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 S 31ST STREET, MS-11-AG062, TEMPLE, TX 76508
(254) 724-5815
(254) 724-0408
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
(254) 724-7603
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R0415
TX
390200000X
Student in an Organized Health Care Education/Training Program
BP10053757
TX
Other
Enumeration date
05/22/2015
Last updated
05/11/2017
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