Provider Demographics
NPI:1629559604
Name:HOLMES, ALLISON NICHOLE
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:NICHOLE
Last Name:HOLMES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:NICHOLE
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6647 MAYARD RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77041-2611
Mailing Address - Country:US
Mailing Address - Phone:713-782-4487
Mailing Address - Fax:713-782-1824
Practice Address - Street 1:6647 MAYARD RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77041-2611
Practice Address - Country:US
Practice Address - Phone:713-782-4487
Practice Address - Fax:713-782-1824
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-27
Last Update Date:2018-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX219907164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse