Holly, James L

Holly, James L is an individual health care provider with primary practice located at 2929 Calder St Ste 100, Beaumont TX 77702-1845. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Holly, James L can be contacted via phone (409) 833-9797.

Contact Information

Primary practice address
2929 Calder St Ste 100 Beaumont TX 77702-1845
Phone: (409) 833-9797
Fax: (409) 654-6802
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E0985 Texas

Profile Details

NPI number 1922001296
LBN Legal business name Holly, James L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Sep 18th, 2018 - about 6 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 1922001296 NPPES
Texas MEDICAID 114003001

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