Individual
MRS. GINA RENE HOLBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST/CSFA
Contact information
Practice address
13020 MONTE ALTO ST, KELLER, TX 76244-1358
(817) 658-8023
Mailing address
13020 MONTE ALTO ST, KELLER, TX 76244-1358
(817) 658-8023
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
F01458
TX
Other
Enumeration date
10/29/2015
Last updated
10/29/2015
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