Organization · Type 2 NPI
Nicole Holman PA
Primary Care Clinic/Center · Desoto, TX
NPI number
1124221759
Active
Practice location
900 N Polk St, 120
Desoto, TX 75115-4019
Fax (972) 224-5603
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
3 other providers at this address
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About NPI 1124221759
Nicole Holman PA's National Provider Identifier is 1124221759, issued on Jun 10, 2007. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Desoto, TX. The record was last updated on Aug 22, 2020.