Holloway, Roy

Holloway, Roy is an sole proprietor health care provider with primary practice located at 1813A 6Th St , Bay City TX 77414-5130. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Holloway, Roy can be contacted via phone (870) 866-0441.

Contact Information

Primary practice address
1813A 6Th St Bay City TX 77414-5130
Phone: (870) 866-0441
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R37140 Arkansas

Profile Details

NPI number 1639106479
LBN Legal business name Holloway, Roy
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2006
Last updated Feb 20th, 2012 - about 14 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 1639106479 NPPES
Arkansas Other 5U774 BLUE CROSS OF AR
Arkansas MEDICAID 140681701 BLUE CROSS OF AR

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