Provider Demographics
NPI:1225845969
Name:RHODES, HOLLIE MARIE (LVN)
Entity type:Individual
Prefix:
First Name:HOLLIE
Middle Name:MARIE
Last Name:RHODES
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10136 REYES HTS
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78254-4553
Mailing Address - Country:US
Mailing Address - Phone:210-833-8037
Mailing Address - Fax:
Practice Address - Street 1:10136 REYES HTS
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78254-4553
Practice Address - Country:US
Practice Address - Phone:210-833-8037
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-16
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX213503251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care