Individual
KATIE C HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA, NP
Contact information
Practice address
3650 LAUREL ST, BEAUMONT, TX 77707-2216
(409) 838-0346
(409) 839-3720
Mailing address
3650 LAUREL ST, BEAUMONT, TX 77707-2216
(409) 838-0346
(409) 839-3720
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
803415
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
803415
REGISTERED NURSE
TX
Enumeration date
01/28/2019
Last updated
01/28/2019
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