NPIMap

Organization Active NPI

Jerry T Holubec DO, PA

  • Pain Medicine Physician
  • Carrollton, TX
National Provider Identifier
1396999256
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
H0458 Issued in TX
Legal business name
JERRY T HOLUBEC DO, PA
Practice address
2710 N Josey LN
Ste 301
Carrollton, TX 75007-5400
Phone
(469) 916-0521
Fax
(972) 231-7095
NPI assigned
Nov 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

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

Authorized official

Name
Jerry T Holubec, DO
Title
Owner
Phone
(972) 672-8921

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X H0458 TX Primary

Addresses

Primary practice location

2710 N Josey LN
Ste 301
Carrollton, TX 75007-5400

Mailing address

PO Box 268969
Oklahoma City, OK 73126-8969
Phone (972) 479-1115

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1396999256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268969",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731268969",
            "telephone_number": "972-479-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 N JOSEY LN",
            "address_2": "STE 301",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750075400",
            "telephone_number": "469-916-0521",
            "fax_number": "972-231-7095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY T HOLUBEC DO, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-05",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "HOLUBEC",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-672-8921",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TX",
            "license": "H0458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; 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.