Individual
CLAYTON FOREST HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, EDD, ATC
Contact information
Practice address
855 MONTGOMERY ST, FORT WORTH, TX 76107-2553
(817) 735-2000
Mailing address
PO BOX 99335, FORT WORTH, TX 76199-0335
(817) 735-2000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1039790
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
214442001
—
TX
05
—
218461601
—
TX
01
—
841T79
BCBS
TX
Enumeration date
03/23/2009
Last updated
04/12/2011
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