Organization Active NPI

Ruby L Holloway, M.D.P.a

  • Gynecology Physician
  • Beaumont, TX
National Provider Identifier
1861807968
Registry record updated Jul 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
G5180 Issued in TX
Legal business name
RUBY L HOLLOWAY, M.D.P.A
Practice address
710 S 8TH St Ste B
Beaumont, TX 77701-4634
Phone
(409) 832-7394
Fax
(409) 832-7016
NPI assigned
Jun 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2014

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

Authorized official

Name
Ms. Janice L Price
Title
Office Manager
Phone
(409) 832-7394

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X G5180 TX Primary

Addresses

Primary practice location

710 S 8TH St Ste B
Beaumont, TX 77701-4634

Mailing address

710 S 8TH St Ste B
Beaumont, TX 77701-4634
Phone (409) 832-7394

National Provider Directory

National Provider Directory

Locations

710 S 8th St
Ste B
Beaumont, TX 77701
Phone (409) 299-9460

NPI Registry JSON

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404777600000",
    "number": "1861807968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 S 8TH ST STE B",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014634",
            "telephone_number": "409-832-7394",
            "fax_number": "409-832-7016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 S 8TH ST STE B",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014634",
            "telephone_number": "409-832-7394",
            "fax_number": "409-832-7016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBY L HOLLOWAY, M.D.P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-26",
        "last_updated": "2014-07-08",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "409-832-7394",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TX",
            "license": "G5180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; 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.