Provider Demographics
NPI:1306589882
Name:HOLMES, VERONICA M (CPNP-PC)
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:M
Last Name:HOLMES
Suffix:
Gender:F
Credentials:CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13523 HARGRAVE RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-3829
Mailing Address - Country:US
Mailing Address - Phone:281-394-1460
Mailing Address - Fax:281-206-4487
Practice Address - Street 1:13523 HARGRAVE RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-3829
Practice Address - Country:US
Practice Address - Phone:281-206-4496
Practice Address - Fax:281-206-4487
Is Sole Proprietor?:No
Enumeration Date:2022-04-14
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1020794363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics