Individual
TONYA MECHELE HOLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
2324 MAXWELL CIR, ORANGE, TX 77630-2219
(409) 221-2156
Mailing address
2324 MAXWELL CIR, ORANGE, TX 77630-2219
(409) 221-2156
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP134108
TX
Other
Enumeration date
12/07/2017
Last updated
12/07/2017
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