Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 152W00000X | Optometrist | TX5206 | TX |
N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | TX5206 | TX |
NPI | 1225110299 |
---|---|
Provider Name | Dr. Daniel Joseph Holovic |
First Address | Weatherford, TX 76086-4308 |
Second Address | Beckley, WV 25801-6444 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U80161 | (02) | TX |