Holmes, Victor Lamont
Holmes, Victor Lamont is an individual health care provider with primary practice located at 855 Montgomery , Fort Worth TX 76107-2553. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Holmes, Victor Lamont can be contacted via phone (817) 735-5800.Contact Information
Primary practice address
855 Montgomery
Fort Worth TX 76107-2553
Phone: (817) 735-5800
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA06508 | Texas |
Profile Details
NPI number | 1194711747 |
---|---|
LBN Legal business name | Holmes, Victor Lamont |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 20th, 2005 |
Last updated | Jul 13th, 2017 - about 7 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1194711747 | NPPES |
Texas | Other | 839N18 | BCBS |
Texas | MEDICAID | 220538701 | BCBS |
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