Timothy L Holcomb, D.O.
Individual provider Active NPI Family Medicine Physician · Flint, TX
NPI 1609138486 · NPPES record last updated Oct 31, 2015
Key facts
- NPI
- 1609138486
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- P7464 (TX)
- Practice address
- 20208 St Hwy 155 S
Flint, TX 75762-5600 - Phone
- (903) 825-6222
- NPI assigned
- Jun 8, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of North Texas HSC, College of Osteopathic Med, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Christus Trinity Clinic Texas
Practice addresses (Care Compare)
20208 State Hwy 155 S
Christus Trinity Clinic
Flint, TX 75762-5600
Phone (903) 825-6222
620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900
630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560
PO Box
Suite 846098
Dallas, TX 75284-6098
Hospital & facility affiliations
- Christus Homecare
- Christus Homecare
- Enhabit Home Health
- Christus Mother Frances Hospital
- University of Texas Health Science Center at Tyler
- Christus Mother Frances Hospital- Jacksonville
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150812008371 | TX | Practitioner - Family Practice | 0941515431 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P7464 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Inpatient Physicians of Texas I, Inc | Family Medicine | Current | Accepting new patients |
| Christus Trinity Clinic Texas | Current |
Accepting new patients | |
| Sound Inpatient Physicians of Texas I, Inc | Family Medicine | Current |
Accepting new patients |
| Christus Trinity Clinic Texas | Family Medicine | Current |
Accepting new patients |
| Mother Frances Hospital Regional Health Care Center | Current |
Accepting new patients | |
| Mother Frances Hospital Jacksonville | Current |
Accepting new patients |
Locations
20208 State Highway 155 S
Flint, TX 75762
Phone (903) 825-6222
18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409
2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500
17500 W Grand Pkwy S
Sugar Land, TX 77479
Phone (281) 725-5000
2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018
Interoperability endpoints
- tholcomb109676@christushealth.direct-ci.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | P7464 | TX | Yes |
Addresses
Primary practice location
20208 St Hwy 155 S
Flint, TX 75762-5600
Mailing address
PO Box 846098
Dallas, TX 75284-6098
Phone (903) 324-6400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 75-2616977-029 | Other | TX | TRICARE |
| 8FE338 | Other | TX | BCBS |
| 75-2616977-002 | Other | TX | TRICARE |
| 349308201 | Medicaid | TX |
Other providers in Flint, TX
- Cheryl Lynn Henderson
- Jodi Hicken
- Matthew Hicks
- Diana Nicole Hill
- Leigh C Hines
- David W Holmes
- Hood Chiropractic & Wellness Center PC
- William Kelly Hood
- Iaudiometer VA LLC
- Lisa Inthavilay
All providers in Flint, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.