Provider Demographics
NPI:1427286053
Name:HOLMES, TOVAR SMITH (MA, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:TOVAR
Middle Name:SMITH
Last Name:HOLMES
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Gender:F
Credentials:MA, CCC-SLP
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Mailing Address - Street 1:14314 ROSEHILL ESTATES LN
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-8075
Mailing Address - Country:US
Mailing Address - Phone:281-701-3972
Mailing Address - Fax:281-256-2385
Practice Address - Street 1:17515 SPRING CYPRESS RD
Practice Address - Street 2:SUITE # C124
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-2688
Practice Address - Country:US
Practice Address - Phone:281-701-3972
Practice Address - Fax:281-256-2385
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-22
Last Update Date:2009-06-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX18821235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist