Holcomb, Brandi L

Holcomb, Brandi L is an individual health care provider with primary practice located at 703 S Fleishel Ave Ste 5000, Tyler TX 75701-2015. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Holcomb, Brandi L can be contacted via phone (903) 525-2992.

Contact Information

Primary practice address
703 S Fleishel Ave Ste 5000 Tyler TX 75701-2015
Phone: (903) 525-2992
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP131448 Texas

Profile Details

NPI number 1578915633
LBN Legal business name Holcomb, Brandi L
Credentials ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2016
Last updated Dec 9th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578915633 NPPES
Texas Other P01707515 RAIL ROAD MEDICARE
Texas MEDICAID 364256301 RAIL ROAD MEDICARE
Texas Other 75-2616977-123 RAIL ROAD MEDICARE
Texas Other 8334NY RAIL ROAD MEDICARE

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