Provider Demographics
NPI:1386698314
Name:HOLMAN, PAUL J (MD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:J
Last Name:HOLMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6560 FANNIN ST
Mailing Address - Street 2:SUITE 900
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2761
Mailing Address - Country:US
Mailing Address - Phone:713-441-3800
Mailing Address - Fax:713-793-1015
Practice Address - Street 1:6560 FANNIN ST
Practice Address - Street 2:SUITE 900
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2761
Practice Address - Country:US
Practice Address - Phone:713-441-3800
Practice Address - Fax:713-793-1015
Is Sole Proprietor?:No
Enumeration Date:2006-05-22
Last Update Date:2017-01-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXM4165207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8AE977OtherBLUE CROSS BLUE SHIELD
TX8GD837OtherBCBS
TX8R9787OtherBLUE CROSS BLUE SHIELD
TXP01331483OtherRR MEDICARE
TX184771701Medicaid
TX184771702Medicaid
TX8R9787OtherBLUE CROSS BLUE SHIELD
TXH87629Medicare UPIN
TX8AE977OtherBLUE CROSS BLUE SHIELD
TX184771702Medicaid