Organization
MICHAEL C. HOLMES, MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL HOLMES MD (OWNER/MEDICAL DIRECTOR)
(504) 813-7701
Entity
Organization
Contact information
Practice address
1464 E WHITESTONE BLVD STE 2104, CEDAR PARK, TX 78613-9079
(512) 260-8100
(512) 260-8103
Mailing address
1464 E WHITESTONE BLVD STE 2104, CEDAR PARK, TX 78613-9079
(512) 260-8100
(512) 260-8103
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206844703
—
TX
Enumeration date
03/08/2019
Last updated
03/08/2019
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