Provider Demographics
NPI:1962132365
Name:HOLMES, DORCAS D
Entity type:Individual
Prefix:
First Name:DORCAS
Middle Name:D
Last Name:HOLMES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 INDUSTRIAL BLVD STE 300.47
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-2579
Mailing Address - Country:US
Mailing Address - Phone:713-474-6876
Mailing Address - Fax:281-612-1500
Practice Address - Street 1:1601 INDUSTRIAL BLVD STE 300.47
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-2579
Practice Address - Country:US
Practice Address - Phone:713-474-6876
Practice Address - Fax:281-612-1500
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-16
Last Update Date:2022-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX021015374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty