Provider Demographics
NPI:1588706964
Name:RONICA N. HOLCOMBLE, DPM, PA
Entity type:Organization
Organization Name:RONICA N. HOLCOMBLE, DPM, PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RONICA
Authorized Official - Middle Name:NANCY
Authorized Official - Last Name:HOLCOMBE
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:214-574-9255
Mailing Address - Street 1:1145 KINWEST PKWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-3409
Mailing Address - Country:US
Mailing Address - Phone:214-574-9255
Mailing Address - Fax:214-574-9258
Practice Address - Street 1:1145 KINWEST PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-3409
Practice Address - Country:US
Practice Address - Phone:214-574-9255
Practice Address - Fax:214-574-9258
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2011-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1490213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0033NVOtherBCBS GROUP
TX1821074451OtherDR HOLCOMBE NPI
TX00Y157OtherMEDICARE GRP NUMBER
TX1588706964OtherGRP NPI
TX101253500OtherWORKERS COMP NUMBER
TX1538187067OtherDR. CHENG NPI
TX7061140OtherAETNA
TX1821074451OtherDR HOLCOMBE NPI
TX1588706964OtherGRP NPI