Desiree Holley in Hemphill - Physician Assistant
Desiree Holley - NPI 1528110061
Desiree Holley is a Physician Assistant in Hemphill, Texas. Desiree Holley practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Desiree Holley is 1528110061. The last update date is 2017-03-23.
Desiree Holley's current location address is 390 Sabine Street, Hemphill, Texas. You can contact this provider via phone number 4097870006 and fax number 4097870008. The mailing address for Desiree Holley is 390 Sabine Street, Hemphill, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Desiree Holley |
|---|---|
| Address | 390 Sabine Street, Hemphill, Texas |
| Phone Number | 4097870006 |
| Fax Number | 4097870008 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1528110061 |
|---|---|
| Provider Enumeration Date | 2007-01-17 |
| Last Updated Date | 2017-03-23 |
Provider Mailing Address Detail
| Address | 390 Sabine Street |
|---|---|
| City | Hemphill |
| State | Texas (TX) |
| Post Code | 759487065 |
| Phone Number | 4097870006 |
| Fax Number | 4097870008 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA03982 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 335469802 | TX | -- | |
| 8283ND | BCBS | ||
| 8285ND | TX | BCBS | |
| 75-1976930-005 | TX | TRICARE | |
| 75-2616977-002 | TX | TRICARE | |
| 335469801 | TX | -- | |
| 75-0818167-015 | TX | TRICARE | |
| 75-0818167-022 | TX | TRICARE | |
| 75-2616977-001 | TX | TRICARE | |
| 75-0818167-044 | TX | TRICARE |
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What is the unique 10-digit identifier code issued to Desiree Holley by the Centers for Medicare & Medicaid Services?
The Desiree Holley has been assigned the NPI (National Provider Identifier) 1528110061 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Desiree Holley located?
The Desiree Holley is located at 390 Sabine Street, Hemphill, TX 759487065.
What is Desiree Holley's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Desiree Holley is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
When did the Desiree Holley receive its 1528110061?
The Desiree Holley was issued its 1528110061 on 2007-01-17, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Desiree Holley most recently updated or revised?
The information pertaining to Desiree Holley, including its address, specialty, and other relevant details, was last updated or revised on 2017-03-23.