Holland, Tyra R

Holland, Tyra R is an sole proprietor health care provider with primary practice located at 3339 West Ave , Beaumont TX 77703-3927. She recently has only one registered license in Transportation Services / Private Vehicle, which is considered as her primary health care specialty. Holland, Tyra R can be contacted via phone (281) 678-2006.

Contact Information

Primary practice address
3339 West Ave Beaumont TX 77703-3927
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Private Vehicle 347C00000X 347C00000X Texas

Profile Details

NPI number 1225759798
LBN Legal business name Holland, Tyra R
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 2nd, 2022
Last updated Sep 2nd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225759798 NPPES
Texas MEDICAID 747156

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