Individual
DR. JAMES BARRY HOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.D.
Contact information
Practice address
805 TURTLE CREEK DR, TYLER, TX 75701-1937
(903) 592-1664
(903) 592-6595
Mailing address
805 TURTLE CREEK DR, TYLER, TX 75701-1937
(903) 592-1664
(903) 592-6595
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
TX8681
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00L740
BC/BS #
TX
05
—
130586402
—
TX
05
—
130586404
—
TX
05
—
130586406
—
TX
01
—
751572652
TAX ID#
TX
Enumeration date
10/17/2006
Last updated
12/05/2014
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