Doctor Name: | DR. JAMES EDWARD HOLMES |
NPI Number: | 1780951376 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 1203 |
Business Practice Address: | 4370 Smiley Rd Las Vegas, NV - 891151808 |
Business Phone Number: | 7026887200 |
Business Fax Number: | |
Mailing Address: | 5370 E Craig Rd, 1079-14 LAS VEGAS |
State: | NV |
Postal Code: | 891152100 |
Phone Number: | 7022024756 |
Fax Number: | |
NPI Enumeration Date: | 11/26/2011 |
NPI Last Update Date: | 11/26/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 1203 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NV |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |