Thomas R Holmes
Occupational Therapist - Gerontology
2358 Mirabeau Dr
Tyler
, Texas 75703-5867
Thomas R Holmes
Occupational Therapist - Gerontology
2358 Mirabeau Dr
Tyler
, Texas 75703-5867
(903) 561-9676
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About
Features
Specialties
- Occupational Therapist - Gerontology
Languages spoken
- English
Location
First Address
- Thomas R Holmes
- 2358 Mirabeau Dr
- Tyler, TX
- Zip : 75703-5867
- Fax : (903) 561-9676
- Phone : (903) 561-9676
Second Address
- Thomas R Holmes
- 2358 Mirabeau Dr
- Tyler, TX
- Zip : 75703-5867
- Phone : (903) 561-9676
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XG0600X | Occupational Therapist - Gerontology | 109348 | TX |
National Provider Identifier
| NPI | 1134346380 |
|---|---|
| Provider Name | Thomas R Holmes |
| First Address | Tyler, TX 75703-5867 |
| Second Address | Tyler, TX 75703-5867 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/04/2007 |
| Last Update Date | 18/02/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.