Holcomb, John R

Holcomb, John R is an individual health care provider with primary practice located at 4410 Medical Dr Ste 360 , San Antonio TX 78229-3749. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Holcomb, John R can be contacted via phone (210) 614-2100.

Contact Information

Primary practice address
4410 Medical Dr Ste 360 San Antonio TX 78229-3749
Phone: (210) 614-2100
Fax: (210) 692-1999
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X E4159 Texas
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X E4159 Texas

Profile Details

NPI number 1811994916
LBN Legal business name Holcomb, John R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Mar 19th, 2024 - about 2 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 1811994916 NPPES
Texas MEDICAID 110204806
Texas Other 290012586
Texas Other 8AW596

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