Gina Rene Holbrook, CST/CSFA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

F01458 Issued in TX

Practice address

13020 Monte Alto St
Keller, TX 76244-1358

Phone

(817) 658-8023

NPI assigned

Oct 29, 2015

Last updated

Oct 29, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1446076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446076800000",
    "number": "1831561778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13020 MONTE ALTO ST",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762441358",
            "telephone_number": "817-658-8023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13020 MONTE ALTO ST",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762441358",
            "telephone_number": "817-658-8023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLBROOK",
        "first_name": "GINA",
        "middle_name": "RENE",
        "name_prefix": "Mrs.",
        "credential": "CST/CSFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-29",
        "last_updated": "2015-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "F01458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Alan Hoffman, D.D.S.
• Lindsay Hoffman, D.C.
• Celia Hoffmann
• Regina Arlene Hofmann, RPH
• James Hoke, RBT
• Lauren Margaux Holland, LPC-A
• Shelby Renee Holland, PA-C
• Kaitlyn McKinley Holley, OTD, OTR/L
• Kimberely Holloway, DPT
• Elizabeth Holman

• Surgical Assistant in Keller, TX
• Providers in Keller, TX by specialty
• Surgical Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; 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.