Individual
JOHN R HOLCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4410 MEDICAL DR STE 360, SAN ANTONIO, TX 78229-3749
(210) 614-2100
(210) 692-1999
Mailing address
4410 MEDICAL DR STE 360, SAN ANTONIO, TX 78229-3749
(210) 614-2100
(210) 692-1999
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
E4159
TX
207RP1001X
Pulmonary Disease Physician
Primary
E4159
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110204806
—
TX
01
—
290012586
RAILROAD MEDICARE
TX
01
—
8AW596
BLUE CROSS
TX
Enumeration date
07/05/2005
Last updated
03/19/2024
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