Organization Active NPI

Nicole Holman PA

  • Primary Care Clinic/Center
  • Desoto, TX
National Provider Identifier
1124221759
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
NICOLE HOLMAN PA
Practice address
900 N Polk St
120
Desoto, TX 75115-4019
Phone
(972) 224-5600
Fax
(972) 224-5603
NPI assigned
Jun 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Nicole Holman, MD
Title
President
Phone
(972) 224-5600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

900 N Polk St
120
Desoto, TX 75115-4019

Mailing address

900 N Polk St
120
Desoto, TX 75115-4019
Phone (972) 224-5600

Other names 1

  • Just For You Family Care Doing business as

National Provider Directory

National Provider Directory

Locations

900 N Polk St
Ste 120
Desoto, TX 75115
Phone (972) 224-5600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124221759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N POLK ST",
            "address_2": "120",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751154019",
            "telephone_number": "972-224-5600",
            "fax_number": "972-224-5603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N POLK ST",
            "address_2": "120",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751154019",
            "telephone_number": "972-224-5600",
            "fax_number": "972-224-5603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE HOLMAN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLMAN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-224-5600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Just For You Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Desoto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.