Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | H9998 | TX |
N | 207RX0202X | Medical Oncology | H9998 | TX |
NPI | 1053354464 |
---|---|
Provider Name | Dr. Houston Eccleston Holmes III |
First Address | Dallas, TX 75391-1230 |
Second Address | Dallas, TX 75246-2003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2006 |
Last Update Date | 14/06/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
134711401 | (05) | TX |
134711402 | (05) | TX |
134711404 | (05) | TX |
134711405 | (05) | TX |
134711406 | (05) | TX |
134711407 | (05) | TX |
8R1466 | BLUE CROSS OF TEXAS (01) | TX |
G23824 | (02) | TX |