Jerry Holubec, D.O.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

H0458 Issued in TX

Practice address

736 Hallelujah TRL
Keller, TX 76248-4203

Phone

(817) 973-5331

Fax

(817) 769-9140

NPI assigned

Jan 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pioneer Comprehensive Care Inc.

  • General Practice Physician
  • Carrollton, TX
  • NPI 1982417077

  General Practice, TX

  Medicare reassignment NPD

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1831169895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 KELLER PKWY STE 108-112",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762484601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 HALLELUJAH TRL",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762484203",
            "telephone_number": "817-973-5331",
            "fax_number": "817-769-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLUBEC",
        "first_name": "JERRY",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "H0458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Margaux Holland, LPC-A
• Shelby Renee Holland, PA-C
• Kaitlyn McKinley Holley, OTD, OTR/L
• Kimberely Holloway, DPT
• Elizabeth Holman
• Hope and Growth Center PLLC
• Hope Family Healthcare LLC
• Hope Home Care Inc
• Natalie Horany
• Horton Chiropractic Clinic, P.a.

• All providers in Keller, TX
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.