Thomas R. Holmes, Dba Dementia

LBN: Thomas R. Holmes, Dba Dementia
Thomas R. Holmes, Dba Dementia is an health care organization with primary practice located at 2358 Mirabeau Dr , Tyler TX 75703-5867. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Gerontology, which is considered as the primary health care specialty. Thomas R. Holmes, Dba Dementia can be contacted via phone (903) 561-9676, or through Holmes, Thomas R. via phone (903) 561-9676.

Contact Information

Primary practice address
2358 Mirabeau Dr Tyler TX 75703-5867
Phone: (903) 561-9676
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Holmes, Thomas R.
Phone: (903) 561-9676

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Gerontology 225XG0600X 109348 Texas

Profile Details

NPI number 1760622062
LBN Legal business name Thomas R. Holmes, Dba Dementia
DBA Doing business as
Authorized official Holmes, Thomas R.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 25th, 2009
Last updated Jun 25th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760622062 NPPES
Texas Other 1134346380 INDIVIDUAL PROVIDER NPI

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