Organization
SPORTS OCCUPATIONAL & KNEE SURGERY PA
Active
Other names
PETER F HOLMES MD
Organization subpart
No
Provider details
NPI number
Authorized official
PETER F HOLMES MD (OWNER)
(210) 696-9000
Entity
Organization
Contact information
Practice address
9150 HUEBNER RD, SUITE 200, SAN ANTONIO, TX 78240-1558
(210) 696-9000
Mailing address
9150 HUEBNER RD, SUITE 200, SAN ANTONIO, TX 78240-1558
(210) 696-9000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
F9578
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00589R
BLUE CROSS BLUE SHIELD GR
TX
Enumeration date
02/22/2007
Last updated
08/22/2020
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