Patrice Holleman
Individual provider Active NPI Homemaker · Dallas, TX
NPI 1689222192 · NPPES record last updated Jul 28, 2020
Key facts
- NPI
- 1689222192
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- Practice address
- 6405 Gentle River Dr
Dallas, TX 75241-5923 - Phone
- (469) 449-3802
- NPI assigned
- Aug 28, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trust in God Home Healthcare LLC | Homemaker | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | Yes |
Addresses
Primary practice location
6405 Gentle River Dr
Dallas, TX 75241-5923
Mailing address
1531 Duncanville Rd Apt 1002
Dallas, TX 75211-6578
Phone (469) 449-3802
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.