Doctor Name: | CHRISTIE HOLDER |
NPI Number: | 1154635308 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | 651797 |
Business Practice Address: | 1000 Fm 300 Levelland, TX - 793366235 |
Business Phone Number: | 8068947842 |
Business Fax Number: | 8068943378 |
Mailing Address: | 1000 Fm 300, LEVELLAND |
State: | TX |
Postal Code: | 793366235 |
Phone Number: | 8068947842 |
Fax Number: | 8068943378 |
NPI Enumeration Date: | 07/29/2010 |
NPI Last Update Date: | 01/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 651797 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |