Holmes, Victor Lamont

Holmes, Victor Lamont is an individual health care provider with primary practice located at 855 Montgomery , Fort Worth TX 76107-2553. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Holmes, Victor Lamont can be contacted via phone (817) 735-5800.

Contact Information

Primary practice address
855 Montgomery Fort Worth TX 76107-2553
Phone: (817) 735-5800
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA06508 Texas

Profile Details

NPI number 1194711747
LBN Legal business name Holmes, Victor Lamont
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Jul 13th, 2017 - about 9 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 1194711747 NPPES
Texas Other 839N18 BCBS
Texas MEDICAID 220538701 BCBS

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